DR. DAVID WALLACH (NPI# 1407897572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407897572 |
| Entity Type | Individual |
| Full Name | DR. DAVID WALLACH |
| Credential | M.D. |
| Practice Address |
14 Technology Dr East Setauket NY 11733-3472 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314444233 |
| Mailing Telephone | 6314444233 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 206630 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 7095138 | 01 |
| NY | 02667201 | 05 | |
| NY | EMPIRE BC.BS | 669F61 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033595772 | David Wallach | Contractor | 3100 Cone Manor Ln, Raleigh, NC 27613-6607 | 2015-08-05 |
| 1174935746 | David Brian Wallach | Dentist | 4529 Hwy 71 E, Del Valle, TX 78617-3280 | 2014-05-29 |
| 1972717544 | David Wallach | Optometrist | 16820 Jamaica Ave, Jamaica, NY 11432-5216 | 2007-05-10 |
| Street Address |
14 TECHNOLOGY DR |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756324 | Jeffrey S Muhlrad | Orthopaedic Surgery | 14 Technology Dr, Suite 11, East Setauket, NY 11733-4047 | 2005-08-02 |
| 1518504265 | Maureen O'rourke | Physical Therapist | 14 Technology Dr, East Setauket, NY 11733-3472 | 2019-12-02 |
| 1295290013 | Arielle Demarco | Physician Assistant | 14 Technology Dr, East Setauket, NY 11733-3472 | 2019-02-06 |
| 1891277059 | Agnieszka Kapelanski | Registered Nurse | 14 Technology Dr, East Setauket, NY 11733-3472 | 2018-09-04 |
| 1053719740 | Maria Joana Rizza Relevo Rosas | Physician Assistant | 14 Technology Dr, Suite 11, 12, 15, East Setauket, NY 11733-3472 | 2014-12-11 |
| 1568891547 | Kristen Moran | Physician Assistant | 14 Technology Dr, Suite 11, East Setauket, NY 11733-3472 | 2013-11-11 |
| 1578814232 | Kristina Zhang | Specialist/Technologist | 14 Technology Dr, Suite 11, East Setauket, NY 11733-3472 | 2012-09-20 |
| 1518259225 | Mohammed Umar | General Practice | 14 Technology Dr, Suite 12, East Setauket, NY 11733-3472 | 2011-05-12 |
| 1063729689 | Nardeen Mickail | Internal Medicine | 14 Technology Dr, Suite 10, East Setauket, NY 11733-3472 | 2010-09-02 |
| 1205151768 | Megan Carroll Paulus | Orthopaedic Surgery | 14 Technology Dr, Suite 11, East Setauket, NY 11733-3472 | 2010-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351129 | Nicholas Andrew Pallotta | Orthopaedic Surgery | 14 Technology Dr Ste 12, East Setauket, NY 11733-3469 | 2013-03-27 |
| 1245412295 | Gregory Charles Mallo | Orthopaedic Surgery | 6 Technology Dr 100, East Setauket, NY 11733-4079 | 2007-12-01 |
| 1497756324 | Jeffrey S Muhlrad | Orthopaedic Surgery | 14 Technology Dr, Suite 11, East Setauket, NY 11733-4047 | 2005-08-02 |
| 1225593809 | Orthopedic Assoc of Long Island Physicians & Medical Group Pllc | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2019-02-07 |
| 1881163731 | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2018-11-21 |
| 1053630723 | Christopher Mileto | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2010-05-20 |
| 1023277241 | Morgan Naichi Chen | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2008-06-03 |
| 1467610675 | Dimitrios Christoforou | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2008-05-26 |
| 1386801579 | Jeffrey D Hart | Orthopaedic Surgery | 6 Technology Dr Ste 100, East Setauket, NY 11733-4079 | 2008-05-16 |
| 1376710178 | James Michael Barsi | Orthopaedic Surgery | 14 Technology Dr, Suite 11, East Setauket, NY 11733-3472 | 2008-05-12 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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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.