Active NPI
Steven M. Wolff, M.D.
- Urology Physician
- Rockledge, FL
National Provider Identifier
1689661126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME68265
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001376100 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME68265 | FL | MD | Urology Physician |
| MD61002944 | WA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hematology Oncology Associates of Central Brevard | Past | Accepting new patients | |
| Brevard Urology Associates PA | Urology | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Urology Physician
- Rockledge, FL
- NPI 1780697854
-
- Hematology & Oncology Physician
- Rockledge, FL
- NPI 1700960143
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.