Active NPI
Jared Wolf, RN
- Psychiatric/Mental Health Nurse Practitioner
- North Brunswick, NJ
National Provider Identifier
1700417516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ15585700
- Practice address
- 1307 N Oaks Blvd
North Brunswick, NJ 08902-2157 - Phone
- (646) 730-6262
- NPI assigned
- Jan 30, 2020
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ15585700 | NJ | Primary |
| Registered Nurse | 163W00000X | 26NR24129800 | NJ |
Addresses
Primary practice location
1307 N Oaks Blvd
North Brunswick, NJ 08902-2157
Mailing address
1307 N Oaks Blvd
North Brunswick, NJ 08902-2157
Phone (646) 730-6262
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 759059 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1700417516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 N OAKS BLVD",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089022157",
"telephone_number": "646-730-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 N OAKS BLVD",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089022157",
"telephone_number": "646-730-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JARED",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-30",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ15585700",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR24129800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.