Active NPI
Michael J Wolk, MD
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 094489
- Practice address
- 428 E 72ND St
New York, NY 10021-4635 - Phone
- (646) 962-4278
- NPI assigned
- Oct 12, 2005
- Last updated
- May 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 094489 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 094489 | NY | Primary |
Addresses
Primary practice location
428 E 72ND St
New York, NY 10021-4635
Mailing address
1305 York Ave
8TH Floor, Box 150
New York, NY 10021-5663
Phone (646) 962-4278
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/fhir/dstu2 | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/fhirproxy/api/fhir/r4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | mjw2004@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094489 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Cardiovascular Disease | Current | Accepting new patients |
| Weill Cornell Medical Imaging | Current | Accepting new patients | |
| Weill Cornell Imaging at New York Presbyterian | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients |
Locations
1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176
425 E 61st St
New York, NY 10065
Phone (212) 752-2000
425 E 61st St
Fl 6
New York, NY 10065
Phone (212) 752-2000
428 E 72nd St
New York, NY 10021
Phone (212) 746-3278
520 E 70th St
New York, NY 10021
Phone (212) 746-0838
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/fhir/dstu2
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1447430152
-
dba Weill Cornell Radiology
- Diagnostic Radiology Physician
- New York, NY
- NPI 1538109269
-
- Body Imaging Physician
- New York, NY
- NPI 1417134792
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
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": "1682985600000",
"number": "1659369791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 YORK AVE",
"address_2": "8TH FLOOR, BOX 150",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215663",
"telephone_number": "646-962-4278",
"fax_number": "646-962-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E 72ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214635",
"telephone_number": "646-962-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLK",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "094489",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "094489",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "428 E 72nd St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214635",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/fhir/dstu2",
"affiliation": "N",
"endpointDescription": "fhir",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fhir",
"address_1": "428 E 72nd St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214635",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/fhirproxy/api/fhir/r4/",
"affiliation": "N",
"endpointDescription": "fhir",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fhir",
"address_1": "428 E 72nd St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214635",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mjw2004@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct address",
"address_1": "428 E 72nd St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214635",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.