Active NPI
Susan Geller Wolfe, R.D.H.
- Dental Hygienist
- Hauppauge, NY
National Provider Identifier
1316058167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 0126-27-1
- Practice address
- 3 Canterbury Dr
Hauppauge, NY 11788-3315 - Phone
- (631) 265-0606
- Fax
- (631) 265-6275
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 0126-27-1 | NY | Primary |
Addresses
Primary practice location
3 Canterbury Dr
Hauppauge, NY 11788-3315
Mailing address
63 Howe Rd
Coram, NY 11727-1830
Phone (631) 698-8524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Fisher DMD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Hauppauge, NY
- NPI 1255441259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316058167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 HOWE RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117271830",
"telephone_number": "631-698-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CANTERBURY DR",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883315",
"telephone_number": "631-265-0606",
"fax_number": "631-265-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "SUSAN",
"middle_name": "GELLER",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "0126-27-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.