Individual provider Active NPI

Ron Kevin Wolner, M.D

  • Psychiatry Physician
  • Albany, NY
National Provider Identifier
1730112897
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
150789 Issued in NY
Practice address
2 Tower PL
Executive Park
Albany, NY 12203-3735
Phone
(518) 482-3169
Fax
(518) 446-9979
NPI assigned
Jul 9, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 150789 NY Primary

Addresses

Primary practice location

2 Tower PL
Executive Park
Albany, NY 12203-3735

Mailing address

2 Tower PL
Executive Park
Albany, NY 12203-3735
Phone (518) 482-3169

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000249 NY Practitioner - Psychiatry 2567541519 Practice locations: Albany, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Tower PL
Albany, NY 12203-3735
Phone (518) 482-3169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywork for Wellness Manual Physical Therapy&Therapeutic Massage PLLC PastSince Apr 21, 2011 Accepting new patients
Enlighten Chiropractic, PLLC PastSince Dec 21, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1730112897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOWER PL",
            "address_2": "EXECUTIVE PARK",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033735",
            "telephone_number": "518-482-3169",
            "fax_number": "518-446-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TOWER PL",
            "address_2": "EXECUTIVE PARK",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033735",
            "telephone_number": "518-482-3169",
            "fax_number": "518-446-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLNER",
        "first_name": "RON",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "150789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.