Olga Wildfeuer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

185089 Issued in NY

Practice address

55 Greene Ave
Brooklyn, NY 11238-6406

Phone

(718) 789-5900

Fax

(718) 233-3318

NPI assigned

Jun 29, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Medicine Associates at Lich

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1487601381
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1184652067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 5TH AVENUE",
            "address_2": "7R",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100262588",
            "telephone_number": "212-369-8269",
            "fax_number": "212-360-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386406",
            "telephone_number": "718-789-5900",
            "fax_number": "718-233-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDFEUER",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01845541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jashonda D Wilder, LPN
• John Nicholas Wilder, MD
• Leslie Ann Wilder, P.T.
• Shawna Wilder
• Melissa Noel Wildes, MASTERS OF SCIENCE
• Winsome Wildman, NP
• Camille Wildy
• Daniel W Wilen, MD
• Jennifer Marie Wilen, CNM
• Rivka Wilenkin, OTR/L

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.