Individual provider Active NPI

Lindsey P. Wolfer, DDS

  • General Practice Dentistry
  • Hicksville, NY
National Provider Identifier
1689700130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033771 Issued in NY
Practice address
16 Table LN
Hicksville, NY 11801-3910
Phone
(516) 796-4747
Fax
(516) 796-9546
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 033771 NY Primary

Addresses

Primary practice location

16 Table LN
Hicksville, NY 11801-3910

Mailing address

16 Table LN
Hicksville, NY 11801-3910
Phone (516) 796-4747

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
I20160516001856 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1658660519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033771NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689700130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TABLE LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013910",
            "telephone_number": "516-796-4747",
            "fax_number": "516-796-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TABLE LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013910",
            "telephone_number": "516-796-4747",
            "fax_number": "516-796-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFER",
        "first_name": "LINDSEY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.