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Individual provider Active NPI

Evan Edward Wolf, RPA-C

  • Medical Physician Assistant
  • Albany, NY
National Provider Identifier
1225065733
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
011260 Issued in NY
Practice address
2 Palisades Dr
Aac, a Division of Prime Care Physicians, PLLC
Albany, NY 12205-1438
Phone
(518) 458-2000
Fax
(518) 458-1524
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011260 NY Primary

Addresses

Primary practice location

2 Palisades Dr
Aac, a Division of Prime Care Physicians, PLLC
Albany, NY 12205-1438

Mailing address

PO Box 12190
Prime Care Physicians, PLLC
Albany, NY 12212-2190
Phone (518) 437-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000117 NY Practitioner - Physician Assistant 6103851787 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011260NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Dec 22, 2020 Accepting new patients
Saratoga Hospital CurrentSince Oct 15, 2018 Accepting new patients
Saratoga Hospital CurrentSince Oct 15, 2018 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Jan 1, 2013 Accepting new patients
Cardiology Associates of Schenectady, P.C. Past Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

2 Palisades Dr
#A
Albany, NY 12205

6 Medical Park Dr
Ste 205
Malta, NY 12020
Phone (518) 583-0111

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

254 Church St
Saratoga Springs, NY 12866
Phone (518) 587-8800

2546 Balltown Rd
Ste 300
Schenectady, NY 12309
Phone (518) 377-8184

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Organizations & group practices 10

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Hospital 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003

8 Medical Park Dr
Malta, NY 12020-5050

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1225065733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12190",
            "address_2": "PRIME CARE PHYSICIANS, PLLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122122190",
            "telephone_number": "518-437-9840",
            "fax_number": "518-437-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PALISADES DR",
            "address_2": "AAC, A DIVISION OF PRIME CARE PHYSICIANS, PLLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051438",
            "telephone_number": "518-458-2000",
            "fax_number": "518-458-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "EVAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.