Jonathan Pittman Wolf, M.D

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

D0068767 Issued in MD

Practice address

1644 Piccard Dr
Rockville, MD 20850-6693

Phone

(617) 755-8877

NPI assigned

Feb 3, 2009

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

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1114165800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "617-755-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 PICCARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506693",
            "telephone_number": "617-755-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JONATHAN",
        "middle_name": "PITTMAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MD",
            "license": "D0068767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blene Woldeselasse
• Bemnet Woldesemait
• Mesfin Woldesenbet, M.D.
• Genet Woldetsadik
• Erin Davis Wolf-Barnett, MS RD LD
• Katherine Wolf
• Melinda Jo Wolf, MD
• Sarah Wolf
• Barry E Wolfe, PH.D.
• Cathryn Wolfe

• Behavioral Neurology & Neuropsychiatry Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.