Wolf Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

251530 Issued in NY

Legal business name

WOLF PEDIATRICS, PC

Practice address

701 Route 25a
Suite B3
Mount Sinai, NY 11766-2050

Phone

(631) 476-7676

Fax

(631) 476-7675

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Erika Lorig-Wolf, D.O

Title

Owner

Phone

(631) 476-7676

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1316489255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROUTE 25A",
            "address_2": "SUITE B3",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662050",
            "telephone_number": "631-476-7676",
            "fax_number": "631-476-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROUTE 25A",
            "address_2": "SUITE B3",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662050",
            "telephone_number": "631-476-7676",
            "fax_number": "631-476-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "LORIG-WOLF",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-476-7676",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "251530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3324650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa F Vitarelli, MS ED., BCBA
• Vincent J. Vomero, D.D.S.
• Walgreen Co
• Jessica Wesley, PT
• Emily Williams, RN
• Andrew Xie, MSW
• Brian Yonks, DC
• Yanping Yu, M.D.
• Ningxin Zhu, LMSW

• Pediatrics Physician in Mount Sinai, NY
• Providers in Mount Sinai, 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 Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.