Sonia Woldow, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053528 Issued in PA

Practice address

853 Second Street Pike Ste A1
Richboro, PA 18954-1083

Phone

(215) 485-5713

Fax

(215) 485-5419

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1700030285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 SECOND STREET PIKE STE A1",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541083",
            "telephone_number": "215-485-5713",
            "fax_number": "215-485-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 SECOND STREET PIKE STE A1",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541083",
            "telephone_number": "215-485-5713",
            "fax_number": "215-485-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDOW",
        "first_name": "SONIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03810",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00229100",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya Tsyrulnik, PT
• Polina Vaynblat, D.M.D.
• Walgreen Co (Walgreens #13942)
• Arthur Weiss, D.P.M.
• Adam Bernard Woldow, M.D.
• Jaime E Wolf, D.O.
• Gertrude Wouch
• Kimberly Ann Yeager-Rose, DC
• Jacob Yerkes, DPT
• Scott Richard Zeigen, M.D.

• Physician Assistant in Richboro, PA
• Providers in Richboro, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.