Active NPI
Megan Wolf, MS, RD
- Registered Dietitian
- New York, NY
National Provider Identifier
1124417456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1097772
- Practice address
- 200 E 78TH St
Ste 1a
New York, NY 10075-2010 - Phone
- (917) 992-3192
- NPI assigned
- Jan 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1097772 | NY | Primary |
Addresses
Primary practice location
200 E 78TH St
Ste 1a
New York, NY 10075-2010
Mailing address
2465 38TH St
Apt 3a
Astoria, NY 11103-4106
Phone (917) 992-3192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1097772 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Bariatric Nutrition | Dietitian, Registered | Current | Accepting new patients |
| SW Nutrition Group LLC | Dietitian, Registered | Current | Accepting new patients |
| Megan Wolf Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
200 E 78th St
Ste 1A
New York, NY 10075
Phone (212) 203-2146
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1124417456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 38TH ST",
"address_2": "APT 3A",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034106",
"telephone_number": "917-992-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 78TH ST",
"address_2": "STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100752010",
"telephone_number": "917-992-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "MEGAN",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-09",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1097772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.