Individual provider Active NPI

Wolf Verdiner, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hempstead, NY
National Provider Identifier
1003324708
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405942-01 Issued in NY
Practice address
15 Madison Ave
Hempstead, NY 11550-4811
Phone
(516) 566-3629
NPI assigned
Jan 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405942-01 NY Primary

Addresses

Primary practice location

15 Madison Ave
Hempstead, NY 11550-4811

Mailing address

15 Madison Ave
Hempstead, NY 11550-4811
Phone (516) 566-3629

Other names 1

  • Wolf Verdiner Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404000960 NY Practitioner - Nurse Practitioner 9830613439 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F405942-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc Current Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Wolf Haven NP in Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1003324708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MADISON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504811",
            "telephone_number": "516-566-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MADISON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504811",
            "telephone_number": "516-566-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDINER",
        "first_name": "WOLF",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405942-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WOLF",
            "last_name": "VERDINER",
            "credential": "PSYCHIATRIC NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.