Active NPI
Joshua Wolf DDS PC
- Oral and Maxillofacial Surgery (Dentist)
- Hewlett, NY
National Provider Identifier
1003683210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- JOSHUA WOLF DDS PC
- Practice address
- 1229 Broadway Ste 207
Hewlett, NY 11557-2014 - Phone
- (516) 374-2830
- Fax
- (845) 512-7023
- NPI assigned
- Dec 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aracely D Rivera
- Title
- Office Administrator
- Phone
- (845) 880-7771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
1229 Broadway Ste 207
Hewlett, NY 11557-2014
Mailing address
1229 Broadway Ste 207
Hewlett, NY 11557-2014
Phone (516) 374-2830
Other names 1
- JOSHUA WOLF DDS PC
National Provider Directory
National Provider DirectoryLocations
1229 Broadway
Ste 207
Hewlett, NY 11557
Phone (516) 374-2215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1003683210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 BROADWAY STE 207",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572014",
"telephone_number": "516-374-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 BROADWAY STE 207",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572014",
"telephone_number": "516-374-2830",
"fax_number": "845-512-7023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSHUA WOLF DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-07",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "ARACELY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "845-880-7771"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JOSHUA WOLF DDS PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.