Individual provider Active NPI

Jonathan T Wolfe, MD

  • Procedural Dermatology Physician
  • Plymouth Meeting, PA
National Provider Identifier
1235142084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
MD054934L Issued in PA
Practice address
531 W Germantown Pike
Suite 200
Plymouth Meeting, PA 19462-1325
Phone
(610) 828-0400
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X MD054934L PA Primary

Addresses

Primary practice location

531 W Germantown Pike
Suite 200
Plymouth Meeting, PA 19462-1325

Mailing address

531 W Germantown Pike
Suite 200
Plymouth Meeting, PA 19462-1325
Phone (610) 828-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000484 PA Practitioner - Dermatology 9032171624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Plymouth Meeting, P.C.Group PAC ID 6507841970, 11 clinicians

Practice addresses (Care Compare)

531 W Germantown Pike
Suite 200
Plymouth Meeting, PA 19462-1325
Phone (610) 828-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.02 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40
Cost
86.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions2093
Removal or shaving of skin growth177
Skin biopsy757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Plymouth Meeting, PC CurrentSince Oct 23, 1996 Accepting new patients
Edward F. Ryan,Jr. D.O.,LLC Past Accepting new patients

Locations

609 W Germantown Pike
Ste 200
Norristown, PA 19403
Phone (610) 828-0400

531 W Germantown Pike
#200201
Plymouth Meeting, PA 19462
Phone (610) 828-0400

531 W Germantown Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 828-0400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235142084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W GERMANTOWN PIKE",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621325",
            "telephone_number": "610-828-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W GERMANTOWN PIKE",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621325",
            "telephone_number": "610-828-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD054934L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.