Active NPI
Wendy Elias Wolfson, D.O.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1285805812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 244074
- Practice address
- 2 W 46TH St Ste 907
New York, NY 10036-4556 - Phone
- (917) 499-8250
- Fax
- (917) 499-8250
- NPI assigned
- Mar 24, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 244074 | NY | Primary |
Addresses
Primary practice location
2 W 46TH St Ste 907
New York, NY 10036-4556
Mailing address
2 W 46TH St Ste 907
New York, NY 10036-4556
Phone (917) 499-8250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285805812 | Other | DONT HAVE ANY | |
| 1285805812 | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 22, 2020 through Apr 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Side Psychiatric Services, PC | Psychiatry | Past | Accepting new patients |
| East Side Medical and Diagnostics Services, PC | Psychiatry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1396782637
Psychiatry
-
- Psychiatry Physician
- New York, NY
- NPI 1548208226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1285805812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W 46TH ST STE 907",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364556",
"telephone_number": "917-499-8250",
"fax_number": "917-499-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W 46TH ST STE 907",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100364556",
"telephone_number": "917-499-8250",
"fax_number": "917-499-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFSON",
"first_name": "WENDY",
"middle_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "244074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DONT HAVE ANY",
"identifier": "1285805812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "1285805812",
"state": null
}
],
"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 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.