Active NPI
Gail Rae Zimmermann Wolfe, MD
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
National Provider Identifier
1205825734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 45727
- Practice address
- 736 Cambridge St
Carita St Elizabeths Dept of Pathology
Boston, MA 02135-2907 - Phone
- (617) 789-2405
- Fax
- (617) 562-7853
- NPI assigned
- Oct 18, 2005
- Reactivated
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 45727 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Carita St Elizabeths Dept of Pathology
Boston, MA 02135-2907
Mailing address
22 W Boulevard Rd
Newton Centre, MA 02459-1219
Phone (617) 527-7848
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caritas Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Brighton, MA
- NPI 1174513204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205825734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 W BOULEVARD RD",
"city": "NEWTON CENTRE",
"state": "MA",
"postal_code": "024591219",
"telephone_number": "617-527-7848",
"fax_number": "617-562-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "CARITA ST ELIZABETHS DEPT OF PATHOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-2405",
"fax_number": "617-562-7853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "GAIL",
"middle_name": "RAE ZIMMERMANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2007-07-08",
"deactivation_date": "2005-10-19",
"reactivation_date": "2006-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "45727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.