Zichariea Wallace, PA
NPI 1225128069 · Surgical Physician Assistant · Rockville Centre, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Zichariea Wallace, PA is a Surgical Physician Assistant provider in Rockville Centre, NY (NPI 1225128069).
Provider details
- NPI number
- 1225128069
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 010776 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2011-10-10
Frequently asked questions
- What is Zichariea Wallace's NPI number?
- Zichariea Wallace's National Provider Identifier (NPI) is 1225128069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Zichariea Wallace's specialty?
- Zichariea Wallace is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Zichariea Wallace located?
- Zichariea Wallace's practice location on file with NPPES is 1000 N Village Ave., Rockville Centre, NY 11570.
- What is Zichariea Wallace's phone number?
- The practice phone number listed in the NPPES registry for Zichariea Wallace is (516) 705-2525.
- Does Zichariea Wallace accept Medicare?
- Zichariea Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Zichariea Wallace's NPI active?
- Yes — Zichariea Wallace's NPI (1225128069) is active in the NPPES registry as of the last update on 2011-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.