Organization Active NPI

William R. Wolfe, M.D., PC

  • Neurology Physician
  • Frazer, PA
National Provider Identifier
1104297647
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA06195800 Issued in NJ
Legal business name
WILLIAM R. WOLFE, M.D., PC
Practice address
1 N Bacton Hill Rd
Suite 208
Frazer, PA 19355-1047
Phone
(877) 558-8778
Fax
(610) 903-4281
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
John M Montgomery
Title
Practice Manager
Phone
(877) 558-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 25MA06195800 NJ Primary

Addresses

Primary practice location

1 N Bacton Hill Rd
Suite 208
Frazer, PA 19355-1047

Mailing address

1 N Bacton Hill Rd
Suite 208
Frazer, PA 19355-1047
Phone (877) 558-8778

National Provider Directory

National Provider Directory

Locations

1 N Bacton Hill Rd
Ste 208
Frazer, PA 19355
Phone (877) 558-8778

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1104297647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N BACTON HILL RD",
            "address_2": "SUITE 208",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "193551047",
            "telephone_number": "877-558-8778",
            "fax_number": "610-903-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BACTON HILL RD",
            "address_2": "SUITE 208",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "193551047",
            "telephone_number": "877-558-8778",
            "fax_number": "610-903-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. WOLFE, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "877-558-8778"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA06195800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frazer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.