Timothy Wallace, PA
NPI 1700850674 · Physician Assistant · Brooklyn, NY
Timothy Wallace, PA is a Physician Assistant provider in Brooklyn, NY (NPI 1700850674).
Provider details
- NPI number
- 1700850674
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- License
- 004988-1 (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
20 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
- 2006-02-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Timothy Wallace's NPI number?
- Timothy Wallace's National Provider Identifier (NPI) is 1700850674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Wallace's specialty?
- Timothy Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Timothy Wallace located?
- Timothy Wallace's practice location on file with NPPES is 450 Clarkson Ave, Brooklyn, NY 11203-2056.
- What is Timothy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Timothy Wallace is (718) 270-1554.
- Is Timothy Wallace's NPI active?
- Yes — Timothy Wallace's NPI (1700850674) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.