Organization Active NPI

Wolfeld Plastic Surgery, LLC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1003134982
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
235056 Issued in NY
Legal business name
WOLFELD PLASTIC SURGERY, LLC
Practice address
110 E 55TH St
New York, NY 10022-4540
Phone
(212) 281-1000
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Wolfeld, M.D.NPI 1225297229
Title
President
Phone
(212) 281-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X 235056 NY Primary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X 25MA08707100 NJ

Addresses

Primary practice location

110 E 55TH St
New York, NY 10022-4540

Mailing address

110 E 55TH St
14TH Floor
New York, NY 10022-4540
Phone (212) 281-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100812000018 NY Part B Supplier - Clinic/Group Practice 9830223999 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

25 Prospect Ave
Hackensack, NJ 07601
Phone (201) 343-2277

229 E 85th St
Unit 1444
New York, NY 10028

110 E 55th St
Fl 13
New York, NY 10022
Phone (212) 281-1000

311 North St
Ste 401
White Plains, NY 10605
Phone (347) 688-0190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1003134982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 55TH ST",
            "address_2": "14TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224540",
            "telephone_number": "212-281-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 55TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224540",
            "telephone_number": "212-281-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFELD PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "WOLFELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-281-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "235056",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08707100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.