Jonathan David Wolfe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008162-1 Issued in NY

Practice address

873 Saw Mill River Road
Ardsley, NY 10502-1104

Phone

(914) 222-4694

Fax

(914) 222-5299

NPI assigned

Jun 24, 2014

Last updated

Jun 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonathan D Wolfe OD, P.C.

  • Optometrist
  • Ardsley, NY
  • NPI 1831757673
  Medicare reassignment NPD Authorized official
• Betiku & Hernandez Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Mount Vernon, NY
  • NPI 1154019081
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1417362864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ANDERSON AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835547",
            "telephone_number": "646-341-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 SAW MILL RIVER ROAD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021104",
            "telephone_number": "914-222-4694",
            "fax_number": "914-222-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 McLean Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107043876",
            "country_code": "US",
            "telephone_number": "914-803-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008162-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03992101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Well Being Psychological Services
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• Westchester Radiology & Imaging P.C.
• Winston Gold LLC
• Katarzyna Wlodarczyk-Bisaga, MD
• Daniel G Wong, MD
• Michelle K Wong, RPH
• Jacquie Wozny, MSED
• Yates Psychotherapy LCSW PLLC
• Grace K Yoo, PHARMACIST

• Optometrist in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.