Active NPI
Mary E Wolff, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Allentown, PA
National Provider Identifier
1043249600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- UP004289G
- Practice address
- 29 N 9TH St
Allentown, PA 18101-1102 - Phone
- (610) 481-0481
- Fax
- (610) 481-0481
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | UP004289G | PA | Primary |
Addresses
Primary practice location
29 N 9TH St
Allentown, PA 18101-1102
Mailing address
PO Box 1068
Bensalem, PA 19020-5068
Phone (610) 481-0481
Other practice location 1
2185 Galloway Rd
Bensalem, PA 19020-2983
Phone (610) 871-7200
Other practice location 2
902 Manor St
Lancaster, PA 17603-5052
Phone (610) 871-7200
Other practice location 3
1514 N 2nd St
Harrisburg, PA 17102-2505
Phone (610) 871-7200
Other practice location 4
101 N Main St Ste 201
Wilkes Barre, PA 18701-1316
Phone (610) 871-7200
Other practice location 5
728 S Beaver St
York, PA 17401-2209
Phone (610) 871-7200
Other practice location 6
1920 Kutztown Rd Ste H
Reading, PA 19604-1508
Phone (610) 871-7200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026733890014 | Medicaid | PA | |
| 1026733890011 | Medicaid | PA | |
| 1026733890007 | Medicaid | PA | |
| 1026733890015 | Medicaid | PA | |
| 1026733890013 | Medicaid | PA | |
| 1026733890016 | Medicaid | PA | |
| 102673389-0017 | Medicaid | PA | |
| 1026733890006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UP004289G | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1043249600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1068",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190205068",
"telephone_number": "610-481-0481",
"fax_number": "610-871-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N 9TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181011102",
"telephone_number": "610-481-0481",
"fax_number": "610-481-0481"
}
],
"practiceLocations": [
{
"address_1": "2185 Galloway Rd",
"address_purpose": "LOCATION",
"city": "Bensalem",
"state": "PA",
"postal_code": "190202983",
"country_code": "US",
"telephone_number": "610-871-7200",
"fax_number": "610-871-6210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "902 Manor St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176035052",
"country_code": "US",
"telephone_number": "610-871-7200",
"fax_number": "610-871-6210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1514 N 2nd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171022505",
"country_code": "US",
"telephone_number": "610-871-7200",
"fax_number": "610-871-6210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 N Main St Ste 201",
"address_purpose": "LOCATION",
"city": "Wilkes Barre",
"state": "PA",
"postal_code": "187011316",
"country_code": "US",
"telephone_number": "610-871-7200",
"fax_number": "610-871-6210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "728 S Beaver St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174012209",
"country_code": "US",
"telephone_number": "610-871-7200",
"fax_number": "610-871-6210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1920 Kutztown Rd Ste H",
"address_purpose": "LOCATION",
"city": "Reading",
"state": "PA",
"postal_code": "196041508",
"country_code": "US",
"telephone_number": "610-871-7200",
"fax_number": "610-871-6210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFF",
"first_name": "MARY",
"middle_name": "E",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "UP004289G",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026733890014",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026733890011",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026733890007",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026733890015",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026733890013",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026733890016",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102673389-0017",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026733890006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.