Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey D Wallach, MD

Individual provider Nephrology Physician · NPI 1588638118

Dr. Jeffrey D Wallach, MD is a Nephrology Physician in New York, New York. Licensed in New York and Wisconsin. Registered with an NPI since 2006.

Licensed in
NY, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

506 Lenox Ave Mlk 12101
New York, NY 10037-1802
Phone: (212) 939-2291
Fax: (212) 939-1745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 127655-1 (NY)
Nephrology Physician Taxonomy 207RN0300X · Licence 23291 (WI)

Record details

NPI number1588638118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019

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