Steven L. Wolfgang, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD029821L Issued in PA

Practice address

130 S 18TH St
Unit #1401
Philadelphia, PA 19103-4923

Phone

(302) 547-8394

Fax

(610) 527-8434

NPI assigned

Jun 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 23, 2016 through Apr 23, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1104180645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S 18TH ST",
            "address_2": "UNIT #1401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034923",
            "telephone_number": "302-547-8394",
            "fax_number": "610-527-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 18TH ST",
            "address_2": "UNIT #1401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034923",
            "telephone_number": "302-547-8394",
            "fax_number": "610-527-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFGANG",
        "first_name": "STEVEN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD029821L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Wolff
• Kathleen C Wolff, CRNP
• Mark Steven Wolff, DDS
• Rachel Wolff
• Alise Wolfgang, CRNP-BC
• Laura Wolford, PA-C
• Iris S Wolfson, BSRN,CNM
• Mathew David Wolfson, D.C.
• Molly Manette Wolfson, AUD
• Sharon Wolfson, MD

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.