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

Nadav Wallach, MD

Individual provider Family Medicine Physician · NPI 1487233375

Nadav Wallach, MD is registered under Family Practice in New York, New York. Qualified in 2021, 5 years ago. Licensed in New Jersey and New York.

Years since qualifying
5
Licensed in
NJ, NY
In the registry since
2021
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

535 W 110th St Apt 1E
New York, NY 10025-2021
Phone: (212) 280-4740
Fax: (212) 280-4743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 339374 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MA12759000 (NJ)

Record details

NPI number1487233375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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