Organization Active NPI

Audrey J. Woolrich, MD,PC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1215037916
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
166434 Issued in NY
Legal business name
AUDREY J. WOOLRICH, MD,PC
Practice address
1020 Park Ave
Floor 1
New York, NY 10028-0913
Phone
(212) 861-7441
Fax
(212) 772-2877
NPI assigned
Sep 22, 2006
Last updated
Aug 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Dr. Audrey Jane Woolrich, MDNPI 1598865297
Title
President
Phone
(212) 861-7441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 166434 NY Primary

Addresses

Primary practice location

1020 Park Ave
Floor 1
New York, NY 10028-0913

Mailing address

1020 Park Ave
Floor 1
New York, NY 10028-0913
Phone (212) 861-7441

Other identifiers 1

IdentifierTypeStateIssuer
WLW871OtherNYMEDICARE P10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061106000486 NY Part B Supplier - Clinic/Group Practice 0648277558 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0869786Audrey J Woolrich MD PC1020 Park Avenue, Floor 1, New York, NY 10028Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

140 E 80th St
#4
New York, NY 10075
Phone (212) 861-7441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9202/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1215037916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "address_2": "FLOOR 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "212-861-7441",
            "fax_number": "212-772-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "address_2": "FLOOR 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "212-861-7441",
            "fax_number": "212-772-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY J. WOOLRICH, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "WOOLRICH",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-861-7441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "166434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P10",
            "identifier": "WLW871",
            "state": "NY"
        }
    ],
    "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 Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.