Active NPI
Verlene Wolf
- Licensed Practical Nurse
- East Orange, NJ
National Provider Identifier
1437537800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 26NE01218900
- Practice address
- 137 Evergreen PL
Suite 2C
East Orange, NJ 07018-2005 - Phone
- (862) 930-3819
- Fax
- (888) 748-5787
- NPI assigned
- May 18, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26NE01218900 | NJ | Primary |
Addresses
Primary practice location
137 Evergreen PL
Suite 2C
East Orange, NJ 07018-2005
Mailing address
137 Evergreen PL
Suite 2C
East Orange, NJ 07018-2005
Phone (862) 930-3819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0473880 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NE01218900 | NJ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1437537800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 EVERGREEN PL",
"address_2": "SUITE 2C",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182005",
"telephone_number": "862-930-3819",
"fax_number": "888-748-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 EVERGREEN PL",
"address_2": "SUITE 2C",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182005",
"telephone_number": "862-930-3819",
"fax_number": "888-748-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "VERLENE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-18",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "26NE01218900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0473880",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.