Individual provider Active NPI

Michael J Wolk, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1659369791
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
094489 Issued in NY
Practice address
428 E 72ND St
New York, NY 10021-4635
Phone
(646) 962-4278
NPI assigned
Oct 12, 2005
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614001407 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 2264476852 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
094489NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Cardiovascular Disease CurrentSince Feb 1, 2015 Accepting new patients
Weill Cornell Medical Imaging CurrentSince Jan 8, 2020 Accepting new patients
Weill Cornell Imaging at New York Presbyterian CurrentSince Jan 8, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 1, 2015 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.