ASYA IZRAELIT WALLACH (NPI# 1285051128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285051128 |
| Entity Type | Individual |
| Full Name | ASYA IZRAELIT WALLACH |
| Credential | M.D. |
| Practice Address |
718 Teaneck Rd Teaneck NJ 07666-0766 |
| Mailing Address |
550 1st Ave Nyu New York NY 10016-6402 |
| Practice Telephone | 0128370727 |
| Practice Fax Number | 2018378504 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA10510100 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 1st Ave, Nyu, New York, NY 100166402 | 5132792362 |
| Street Address |
718 TEANECK RD |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-0766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900549 | John Jude Klein | Specialist | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2005-05-27 |
| 1962013086 | Andrew Murgittroyd | Pharmacist | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2020-08-12 |
| 1386266179 | Kimberly A Miletti | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2020-05-14 |
| 1043857469 | Tara Lynn Hill | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4281 | 2019-12-04 |
| 1487291282 | Tamara Szwecki | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-30 |
| 1053958819 | Mikyong Cho | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-28 |
| 1447896287 | Jaclyn Susan Giordano | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-26 |
| 1619513454 | Rose Apkarian | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-26 |
| 1609335769 | Mallory Nop | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-03-18 |
| 1639649593 | Robert J Walsh | Physical Medicine & Rehabilitation | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245314806 | Charles Francis Asta | Psychiatry & Neurology | 1 Degraw Ave Ste B, Teaneck, NJ 07666-4000 | 2006-10-24 |
| 1447878277 | Advanced Neuromed LLC | Psychiatry & Neurology | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2020-07-08 |
| 1568841195 | North New Jersey Neurological Specialists, Pa | Psychiatry & Neurology | 400 Frank W. Burr Boulevard, Glenpointecentre Atrium Suite 55, Teaneck, NJ 07666 | 2015-05-28 |
| 1992130306 | Julie Marianne Fortunato | Psychiatry & Neurology | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2013-09-05 |
| 1881937613 | Joseph Ivan Petrsoric | Psychiatry & Neurology | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2013-03-29 |
| 1174726418 | Jack Sheldon Burks | Psychiatry & Neurology | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2007-06-06 |
| 1588710024 | Michael G Kailas | Psychiatry & Neurology | 699 Teaneck Rd, Suite 106, Teaneck, NJ 07666-4244 | 2007-01-26 |
| 1295888030 | Mary Ann Picone | Psychiatry & Neurology | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717719 | Hudson Healthcare Express LLC | Psychiatry & Neurology | 9225 Kennedy Blvd Ste D, North Bergen, NJ 07047-5361 | 2020-07-08 |
| 1225660947 | Harmony Direct Psychiatric Clinic | Psychiatry & Neurology | 332 Cranbury Rd, East Brunswick, NJ 08816-3074 | 2020-02-11 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1821555376 | Executive Center for Psychological Medicine | Psychiatry & Neurology | 701 White Horse Rd Ste C-101, Voorhees, NJ 08043-2494 | 2019-02-20 |
| 1871058446 | Midatlantic Neuromonitoring Limited | Psychiatry & Neurology | 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749 | 2019-02-07 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1841647823 | Joshua Daniel | Psychiatry & Neurology | 58 W Aspen Way, Aberdeen, NJ 07747-1906 | 2016-05-19 |
| 1487059978 | Neurological Institute of Northern New Jersey | Psychiatry & Neurology | 3 Wedgewood Dr, West Orange, NJ 07052-2719 | 2014-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.