Matthew Jay Wolland, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9293830 Issued in FL

Practice address

1440 NW 110TH Ave.
Apt. #399
Plantation, FL 33322-6945

Phone

(813) 841-7058

NPI assigned

Sep 19, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Broward Internal Medicine, PLLCGroup PAC ID 1951470970, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEDBCA

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.

• West Broward Internal Medicine LLC

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1871765727
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1699177717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 NW 110TH AVE.",
            "address_2": "APT. #399",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226945",
            "telephone_number": "813-841-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 NW 110TH AVE.",
            "address_2": "APT. #399",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226945",
            "telephone_number": "813-841-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLAND",
        "first_name": "MATTHEW",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9293830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Wojtowicz, PA-C
• Donna Wolf, PA-C
• Jason Daniel Wolf, M.D.
• Wolfson Wellness Services, LLC (Wolfson Wellness Services)
• Amanda P Wolfson, PSYD
• James C Wolper, MD
• Albert G Wong, D.M.D.
• Juan Wong, DMD
• Juliet Wong, SLP
• Kelly Marie Wong, NP

• Family Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.