Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Charles Thomas Wallack, D.P.M.

Podiatrist in Lincoln Park, NJ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265404198

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Registry record

Entity type Individual (Type 1)

Name Dr. Charles Thomas Wallack

Credential D.P.M.

Sex Male

Practice address Lincoln Park, NJ, 07035

Phone (973) 694-5632

Enumeration date Feb 4, 2006

Last updated in NPPES Jan 14, 2010

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 25MD00140200 (NJ) Primary

213ES0131X Foot Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 25MD00140200 (NJ) Secondary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

Other identifiers

Identifier	Type	State	Issuer
0103711000	Other	NJ	AMERIHEALTH
1376004-01	Medicaid	NJ	-
P3601404	Other	NJ	OXFORD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Charles Wallack?

The National Provider Identifier (NPI) for Charles Wallack is 1265404198, a Type 1 (individual) record in the CMS NPPES registry.

Where does Charles Wallack practice?

The practice location on file with NPPES is in Lincoln Park, NJ. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-14.