Denise C. Wolken, MD PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

190114 Issued in NY

Legal business name

DENISE C. WOLKEN, MD PLLC

Practice address

4000 Medical Center Dr
Suite 214
Fayetteville, NY 13066-6624

Phone

(315) 991-4180

Fax

(315) 991-4046

NPI assigned

Nov 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Denise C. Wolken, MDNPI 1356361646

Title

Manager

Phone

(315) 991-4180

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Wolken, M.D.

  • Pediatrics Physician
  • Fayetteville, NY
  • NPI 1356361646
  NPD Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1225541022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WOODSIDE DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241831",
            "telephone_number": "315-415-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DR",
            "address_2": "SUITE 214",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666624",
            "telephone_number": "315-991-4180",
            "fax_number": "315-991-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE C. WOLKEN, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "WOLKEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-991-4180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "190114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dayton, PH.D.
• Marisa Bassett De la Garza, MSW, LCSW
• Maryanne Delaney, RN
• Erika Delisle, PA-C
• Denis F Branson MD Professional Corporation
• Deanna Marie Derrenbacker, PT
• Prashant Prakash Deshmane, MD
• William J Dibble, DO
• Grace Digiovanni
• Scott Dillingham, D.D.S.

• Pediatrics Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.