William Vanderwall, P.A.-C
Surgical Physician Assistant · Brooklyn, NY
William Vanderwall, P.A.-C is a surgical physician assistant with a practice address in Brooklyn, New York, and NPI 1205123783, issued on Jul 5, 2011. Check the license (New York 014744, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- William Vanderwall
- Credential
- P.A.-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 014744 NY
Self-reported in NPPES; status is on the state search - Practice location
- 121 Dekalb Ave, Brooklyn, NY 11201
- Phone
- (718) 250-8000
- Enumerated
- Jul 5, 2011
- Record last updated
- Jul 5, 2011 (not updated in 15 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20120816000202); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 2,152 in New York → Look up another NPI →
Also registered at 121 Dekalb Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hany Abdelsayed, DOInternal Medicine Physician1194469452
- Lorena Abou Asaff Yehya, MDStudent in an Organized Health Care Education/Training Program1699463760
- Adebanke Adebayo, M.DEmergency Medicine Physician1306291406
- Hrede Afsana, M.D.Student in an Organized Health Care Education/Training Program1952764672
- Sarah Afzal, DPMStudent in an Organized Health Care Education/Training Program1710730049
- Shardil AhmadStudent in an Organized Health Care Education/Training Program1780479972
Verify William Vanderwall in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 014744Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $64.08
3 payments; by number, the most common kind was food and beverage; the largest payer was Vertex Pharmaceuticals Incorporated. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Tbhc Physician Services PCBrooklyn, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
William Vanderwall among 2,152 surgical physician assistant records in New York
William Vanderwall, P.A.-C is one of 2,152 surgical physician assistant records with a practice address in New York. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 48% of them.
- NPI issued2011 · 48% of these records are older, 47% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2010 · median 2012 among the 1,293 with a school on file
- Record last updated2011 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in New York
There are 2,152 surgical physician assistant records in New York.
All 2,152 in New York → Every provider in Brooklyn → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Jude Anglade, R-PACBrooklyn, NY 112011841436755
- Nadine Bedrosian, P.A.Brooklyn, NY 112011619117017
- Rose BristolBrooklyn, NY 112011295009926
- Rosanna Caramico, PABrooklyn, NY 112011053572875
- Julio Chau, BABrooklyn, NY 112011831531094
- Brendon CohenBrooklyn, NY 112011659082477
- Jean Frederic, P.ABrooklyn, NY 112011831398296
- Anzhelika Khafizova, RPA-CBrooklyn, NY 112011558562124
Common questions
What is William Vanderwall, P.A.-C's NPI number?
William Vanderwall, P.A.-C's National Provider Identifier (NPI) is 1205123783, issued on Jul 5, 2011. An NPI identifies a provider in billing; it is not a license.
Where is William Vanderwall, P.A.-C located?
The NPPES record lists a practice address at 121 Dekalb Ave, Brooklyn, NY, 11201. Phone: (718) 250-8000. Providers update this record themselves, so call before visiting.
How can I verify William Vanderwall, P.A.-C's license?
NPPES lists New York license number 014744, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.