Omar Walli, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

321854 Issued in NY

Practice address

502 5TH Ave
Brooklyn, NY 11215-6688

Phone

(718) 550-4006

Fax

(212) 404-8069

NPI assigned

Jun 7, 2018

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1750874533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156688",
            "telephone_number": "718-550-4006",
            "fax_number": "212-404-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLI",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "321854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malkey Wallerstein
• Malky Wallerstein
• Rivka Chancy Wallerstein
• Yonina Shprintza Wallerstein, RPA
• James M Wallett, D.D.S.
• Jenny Wallier, PH.D.
• Ann Wallin, M.S., CCC-A
• Sarah Elizabeth Wallin, MHC
• Rochelle Walling
• Tristanne Leslie Walliser, LMSW

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.