Susan A Wolf, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

25MA05184600 Issued in NJ

Practice address

214 Terrace Avenue
Hasbrouck Heights, NJ 07604

Phone

(201) 288-6330

Fax

(201) 288-6331

NPI assigned

Jan 22, 2007

Last updated

Nov 12, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1427102110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 TERRACE AVENUE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "07604",
            "telephone_number": "201-288-6330",
            "fax_number": "201-288-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 TERRACE AVENUE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "07604",
            "telephone_number": "201-288-6330",
            "fax_number": "201-288-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "168445",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "168445",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "25MA05184600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas David Vitale, DPM
• Walgreen Co (Walgreens #19733)
• Parul Walia, APN
• Jennifer White
• June Flory Winkler, MD
• Lilibeth Padullo Zara, PT
• Xin Ya Zhou-Deng, PHARM.D

• Reproductive Endocrinology Physician in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• Reproductive Endocrinology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.

Verify at the official NPI Registry.