Individual provider Active NPI

Keith R Wolfson, MD

  • Cardiovascular Disease Physician
  • Lawrenceville, NJ
National Provider Identifier
1417047275
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA07738400 Issued in NJ
Practice address
3140 Princeton Pike
2ND Floor
Lawrenceville, NJ 08648-2330
Phone
(609) 895-1919
Fax
(215) 860-8950
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA07738400 NJ Primary

Addresses

Primary practice location

3140 Princeton Pike
2ND Floor
Lawrenceville, NJ 08648-2330

Mailing address

104 Pheasant Run
Suite 104
Newtown, PA 18940-3439
Phone (215) 860-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050627000804 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345285672 Reassigns benefits to 2 organizations
I20070822000078 PA Practitioner - Cardiovascular Disease (Cardiology) 0345285672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

104 Pheasant Run
Suite 128
Newtown, PA 18940-3428
Phone (215) 860-3344

3140 Princeton Pike
FL 2
Lawrenceville, NJ 08648-2330
Phone (609) 895-1919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07738400NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Provider Group LLC CurrentSince Jan 19, 2016 Accepting new patients
Princeton Healthcare Provider Group LLC Cardiovascular Disease Current Accepting new patients
Capital Health Medical Group Cardiovascular Disease CurrentSince Apr 1, 2021 Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease PastSince Sep 1, 2023 Accepting new patients

Locations

1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140

104 Pheasant Run
Ste 104
Newtown, PA 18940

104 Pheasant Run
Ste 128
Newtown, PA 18940
Phone 21586033441218

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

407 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 750-7150

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: keith.wolfson.1@12833.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1417047275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN",
            "address_2": "SUITE 104",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-860-3344",
            "fax_number": "215-860-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 PRINCETON PIKE",
            "address_2": "2ND FLOOR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482330",
            "telephone_number": "609-895-1919",
            "fax_number": "215-860-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSON",
        "first_name": "KEITH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07738400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.