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Physician Profile

Derrick I. Wallace, M.D.

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At a glance

About Dr. Wallace

Based in Nutley, NJ, Derrick I. Wallace, M.D. is listed in the NPI registry under otolaryngology (ent). Derrick graduated from Icahn School of Medicine at Mount Sinai in 1996. According to Medicare claims data, Derrick cared for 814 Medicare patients across 910 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more, and removal of impacted ear wax. NPI 1114900362 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

NJ licenceAs reported to the NPI registry
No. 25MA08175200As reported
NY licenceAs reported to the NPI registry
No. 208988As reported
NPINational Provider Identifier
1114900362Issued 2005

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Derrick I. Wallace's specialty?

Derrick I. Wallace is an otolaryngology (ent) in Nutley, NJ. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Derrick I. Wallace?

Derrick I. Wallace is listed at 187 Washington Ave Suite 2I, Nutley, NJ 07110. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Derrick I. Wallace?

The number on file is (973) 235-0090. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Derrick I. Wallace's NPI number?

Derrick I. Wallace's National Provider Identifier is 1114900362. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Derrick I. Wallace's education?

Derrick I. Wallace attended Icahn School of Medicine at Mount Sinai, graduating in 1996. This comes from the CMS National Downloadable File.

CMS public data

How long has Derrick I. Wallace been practicing?

Derrick I. Wallace has 30 years experience. Calculated from a graduation year of 1996, reported in the CMS National Downloadable File.

CMS public data

What is Derrick I. Wallace known for?

According to Medicare billing data, Derrick I. Wallace performs procedures including removal of impacted ear wax, diagnostic exam of nasal passages using an endoscope and diagnostic exam of voice box using a flexible endoscope, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Derrick I. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Derrick I. Wallace. If this is you, claiming it is free.

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