Individual provider Active NPI

Steven M. Wolff, M.D.

  • Urology Physician
  • Rockledge, FL
National Provider Identifier
1689661126
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME68265 Issued in FL
Practice address
1026 Pathfinder Way
Rockledge, FL 32955-3216
Phone
(321) 631-2070
Fax
(321) 631-6489
NPI assigned
Sep 30, 2005
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD61002944 WA
Urology Physician 208800000X ME68265 FL Primary

Addresses

Primary practice location

1026 Pathfinder Way
Rockledge, FL 32955-3216

Mailing address

3466 N Harbor City Blvd
Melbourne, FL 32935-5713
Phone (321) 434-1982

Other practice location 1

780 Swift Blvd
Richland, WA 99352-3524
Phone (509) 942-3288

Other identifiers 1

IdentifierTypeStateIssuer
001376100MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address swolff1162352@wm.providencedirect.org
Direct Messaging Address swolff1162352@wm.providencedirect.org

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME68265FLMDUrology Physician
MD61002944WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Associates of Central Brevard Past Accepting new patients
Brevard Urology Associates PA Urology PastSince Sep 21, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: swolff1162352@wm.providencedirect.org

Organizations & group practices 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1689661126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 N HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355713",
            "telephone_number": "321-434-1982",
            "fax_number": "321-631-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 PATHFINDER WAY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553216",
            "telephone_number": "321-631-2070",
            "fax_number": "321-631-6489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523524",
            "country_code": "US",
            "telephone_number": "509-942-3288",
            "fax_number": "509-942-3167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "STEVEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD61002944",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME68265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001376100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swolff1162352@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "780 Swift Blvd Ste 201",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swolff1162352@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "888 Swift Blvd",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.