Daniel Wolloch, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

230115 Issued in NY

Practice address

870 Palisade Ave
Suite 201
Teaneck, NJ 07666-3419

Phone

(201) 692-1661

Fax

(201) 692-9219

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: danielwolloch@nslijmedgr.allscriptsdirect.net

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.

• White Plains Radiology Associates PC

  • Diagnostic Radiology Physician
  • White Plains, NY
  • NPI 1245222603
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1720163173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "SUITE 201",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-692-1661",
            "fax_number": "201-692-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "SUITE 201",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-692-1661",
            "fax_number": "201-692-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLOCH",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "230115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225444",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilton Optical, Inc
• Dorothy B Wiltshire, MSW, LCSW, BCD
• Shaena Olivia Wizzard, PT, DPT
• Nicole Joy Wolfin, DPT
• Emily Marissa Wollenberg
• Scott Landon Wolsh, LSW
• Women'S Clinic Partners, PC
• Women'S Health Care Group PC
• Women'S League Community Residences, Inc.
• Women'S League Community Residences, Inc.

• Pediatrics Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.