Katherine Marie Wohlstadter, MMS, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014370 Issued in NY

Practice address

159 E 74TH St FL 2
New York, NY 10021-3309

Phone

(212) 737-3301

Fax

(212) 737-4876

NPI assigned

Jan 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Maria Shea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1124322177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 50TH AVE APT 9B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014522",
            "telephone_number": "561-542-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 74TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213309",
            "telephone_number": "212-737-3301",
            "fax_number": "212-737-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLSTADTER",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MMS, RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SHEA",
            "middle_name": "MARIA",
            "credential": "MMS, RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tali Wohl, LMSW
• Shelby Wohlberg, PA-C
• Rita Louise Wohlfarth, LCSW
• Noelle Buongiorno Wohlgemuth, P.A.
• Johanna Wohlstadter, AU.D.
• Paul Robert Wojack, MD
• Wojciech Palka MD PC
• Iwona Monika Wojciechowska-Roman
• Katarzyna Wojdyla, RN
• Stanley J Wojnicki

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.