Individual provider Active NPI

Rachelle Amanda Wolk, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • New York, NY
National Provider Identifier
1659915791
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
063099 Issued in NY
Practice address
726 Broadway Ste 350
New York, NY 10003-9616
Phone
(212) 443-1300
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 063099 NY Primary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 019032976 IL

Addresses

Primary practice location

726 Broadway Ste 350
New York, NY 10003-9616

Mailing address

726 Broadway Ste 350
New York, NY 10003-9616
Phone (212) 443-1322

Other practice location 1

345 E 24th St
New York, NY 10010-4020
Phone (212) 998-9800

Other practice location 2

222 E 41st St Fl 22
New York, NY 10017-6739
Phone (212) 263-7552

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507004001 NY Practitioner - Oral Medicine 7012358161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Medicine
Education
New York University College of Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

726 Broadway
Suite 350
New York, NY 10003-9616
Phone (212) 443-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019032976ILMDOral and Maxillofacial Pathology Dentist
063099NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 1, 2024 Accepting new patients
New York University CurrentSince Apr 1, 2024 Accepting new patients
Oral Pathology Laboratory, Inc. PastSince Nov 1, 2019 Accepting new patients

Locations

345 E 24th St
New York, NY 10010
Phone (212) 988-9800

222 E 41st St
Fl 22
New York, NY 10017
Phone (212) 263-7552

726 Broadway
Ste 350
New York, NY 10003
Phone (212) 443-1300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1659915791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 BROADWAY STE 350",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039616",
            "telephone_number": "212-443-1322",
            "fax_number": "212-995-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 BROADWAY STE 350",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039616",
            "telephone_number": "212-443-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E 24th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104020",
            "country_code": "US",
            "telephone_number": "212-998-9800",
            "fax_number": "212-995-4767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 E 41st St Fl 22",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176739",
            "country_code": "US",
            "telephone_number": "212-263-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLK",
        "first_name": "RACHELLE",
        "middle_name": "AMANDA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "063099",
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "IL",
            "license": "019032976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.