Ellen N Wolfson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

025363 Issued in CT

Practice address

35 River Road
Cos Cob, CT 06807

Phone

(203) 625-0333

Fax

(203) 625-8331

NPI assigned

Nov 13, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 11, 2016 through May 11, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1184795759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RIVER ROAD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "06807",
            "telephone_number": "203-625-0333",
            "fax_number": "203-625-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RIVER ROAD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "06807",
            "telephone_number": "203-625-0333",
            "fax_number": "203-625-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSON",
        "first_name": "ELLEN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "025363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Bidigare Weldon, M.D.
• Barbara Whitton, LPC
• Brian Davidson Whyte, DPT
• Todd Michael Wilkowski, RPT, OCS
• Monique Williams
• Garrick Fredrick Wong, D.M.D., M.M.S.
• Mary Elizabeth Woods, RPT, OCS, CSCS
• Masis Yeterian Jr., D.M.D
• William Yogan
• Charles M Zatzkin, D.D.S.

• Internal Medicine Physician in Cos Cob, CT
• Providers in Cos Cob, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.