Active NPI
John Karl Wolf, M.D.
- Neurology Physician
- La Fayette, NY
National Provider Identifier
1407181464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 100930
- Practice address
- 6804 Chase Rd
La Fayette, NY 13084-9413 - Phone
- (315) 683-9467
- NPI assigned
- Oct 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 100930 | NY | Primary |
Addresses
Primary practice location
6804 Chase Rd
La Fayette, NY 13084-9413
Mailing address
6804 Chase Rd
La Fayette, NY 13084-9413
Phone (315) 683-9467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100930 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1407181464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6804 CHASE RD",
"city": "LA FAYETTE",
"state": "NY",
"postal_code": "130849413",
"telephone_number": "315-683-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6804 CHASE RD",
"city": "LA FAYETTE",
"state": "NY",
"postal_code": "130849413",
"telephone_number": "315-683-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JOHN",
"middle_name": "KARL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-08",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "100930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Fayette, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.