Individual provider Active NPI

Sanford Wohlstadter, M.D.,F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Holmdel, NJ
National Provider Identifier
1649268616
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA044568 Issued in NJ
Practice address
704 N Beers St
Holmdel, NJ 07733-1519
Phone
(732) 739-2500
Fax
(732) 888-2778
NPI assigned
Oct 12, 2005
Last updated
Oct 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA044568 NJ Primary

Addresses

Primary practice location

704 N Beers St
Holmdel, NJ 07733-1519

Mailing address

704 N Beers St
Holmdel, NJ 07733-1519
Phone (732) 739-2500

Other identifiers 4

IdentifierTypeStateIssuer
0098027000OtherNJAMERIHEALTH
0520101MedicaidNJ
0K4836OtherNJHEALTHNET
MP094OtherNJOXFORD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100329000765 NJ Practitioner - Obstetrics/Gynecology 3577619048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

188 Fries Mill Rd
N1
Turnersville, NJ 08012-2055
Phone (856) 875-0505

2349 Hwy 36
Atlantic Highlands, NJ 07716-2560
Phone (732) 291-5121

39 Ave at the CMN
Suite 207
Shrewsbury, NJ 07702-4587
Phone (732) 389-0003

704 N Beers St
Holmdel OBGYN
Holmdel, NJ 07733-1519
Phone (732) 739-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA044568NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women's Health Group, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2013 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Apr 1, 2013 Accepting new patients
Holmdel Obstetrics & Gynecology Associates, PA Obstetrics & Gynecology PastSince Jul 2, 2009 Accepting new patients

Locations

2349 State Route 36
Atlantic Highlands, NJ 07716
Phone (732) 291-5121

704 N Beers St
Holmdel, NJ 07733
Phone (732) 739-2500

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

39 Avenue At the Cmn
Ste 207
Shrewsbury, NJ 07702
Phone (732) 389-0003

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

Interoperability endpoints

  • Direct secure messaging: sanford.wohlstadter@axia.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1649268616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331519",
            "telephone_number": "732-739-2500",
            "fax_number": "732-888-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331519",
            "telephone_number": "732-739-2500",
            "fax_number": "732-888-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLSTADTER",
        "first_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.O.G.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA044568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0098027000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K4836",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "MP094",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.