DR. JONATHAN BRETT WALLACH (NPI# 1851640700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851640700 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BRETT WALLACH |
| Credential | MD |
| Practice Address |
254 Easton Ave New Brunswick NJ 08901-1766 |
| Practice Telephone | 7327458590 |
| Mailing Telephone | 7327458590 |
| Mailing Fax Number | 7324834824 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
273533-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568811537 | Jonathan Wallach | Counselor | 2019 Galisteo St, Suite E2, Santa Fe, NM 87505-2143 | 2016-06-09 |
| Street Address |
254 EASTON AVE |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112859 | Kathy O Covert | Nurse Practitioner | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2005-05-24 |
| 1033710173 | William Andres Vasquez Espinosa | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-05 |
| 1639770746 | Andrea Santos | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-04 |
| 1548861651 | Shikha Jha | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-04 |
| 1497354682 | Andres Calderon | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-10-20 |
| 1023623311 | Tamanna Mahesh Kumar Chandak | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-09-13 |
| 1972117786 | Sreelakshmi Chettoor Janardhanan | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-08-31 |
| 1487262416 | Jan Carol Hader | Social Worker | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-07-15 |
| 1083238828 | Suyansh Sharma | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-06-07 |
| 1447874623 | Gwendolyn Morkorhn Delbridge | Nurse Practitioner | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528487089 | John K Byun | Radiology | 195 Little Albany St, New Brunswick, NJ 08901-1914 | 2014-04-14 |
| 1588005904 | Lara Hathout | Radiology | 195 Little Albany St, New Brunswick, NJ 08901-1914 | 2013-07-14 |
| 1407199250 | Anupama Chundury | Radiology | 195 Little Albany St, New Brunswick, NJ 08901 | 2013-03-30 |
| 1699908244 | Sabin Bhagwan Motwani | Radiology | 195 Little Albany St, New Brunswick, NJ 08901-1914 | 2009-08-31 |
| 1447416417 | Sharad Goyal | Radiology | 195 Little Albany St, New Brunswick, NJ 08901-1914 | 2008-07-30 |
| 1255545653 | Atif Khan | Radiology | 195 Little Albany St, Room 1000, New Brunswick, NJ 08901-1914 | 2007-05-09 |
| 1164591152 | Sung N Kim | Radiology | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital, New Brunswick, NJ 08901-1928 | 2006-11-06 |
| 1184707234 | Salma Jabbour | Radiology | 195 Little Albany St, Radiation Oncology, New Brunswick, NJ 08901-1914 | 2006-10-23 |
| 1073556528 | Michael G. Mckenna | Radiology | 1 Robert Wood Johnson Pl, Radiation Oncology, New Brunswick, NJ 08901-1928 | 2006-06-13 |
| 1942249909 | Rutgers Health-rwj Radiation Oncology | Radiology | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2006-06-05 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.