Active NPI
Fred Wolodiger
- Surgery Physician
- Englewood, NJ
National Provider Identifier
1073511085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA04623100
- Practice address
- 375 Engle St
Englewood, NJ 07631-1823 - Phone
- (201) 894-0400
- Fax
- (201) 894-1022
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA04623100 | NJ | Primary |
| Vascular Surgery Physician | 2086S0129X | 25MA04623100 | NJ |
Addresses
Primary practice location
375 Engle St
Englewood, NJ 07631-1823
Mailing address
375 Engle St
Englewood, NJ 07631-1823
Phone (201) 894-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330001882 | Other | NJ | RAILROAD MEDICARE ID # |
| 0486205 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04623100 | NJ | MD | Surgery Physician |
Interoperability endpoints
- fwolodiger236784@direct.englewoodhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1073511085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311823",
"telephone_number": "201-894-0400",
"fax_number": "201-894-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311823",
"telephone_number": "201-894-0400",
"fax_number": "201-894-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLODIGER",
"first_name": "FRED",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA04623100",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA04623100",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID #",
"identifier": "330001882",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0486205",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.