Active NPI
Elizabeth A Wolff, MD
- Family Medicine Physician
- Middletown, PA
National Provider Identifier
1750381984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD449428
- Practice address
- 1025 W Harrisburg Pike
Middletown, PA 17057-4848 - Phone
- (717) 944-0491
- Fax
- (717) 944-1436
- NPI assigned
- Jul 29, 2005
- Last updated
- Jul 30, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 211874 | NY | |
| Family Medicine Physician | 207Q00000X | MD449428 | PA | Primary |
Addresses
Primary practice location
1025 W Harrisburg Pike
Middletown, PA 17057-4848
Mailing address
307 S Front St
1St Floor
Harrisburg, PA 17104-1621
Phone (717) 231-8540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102877093 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211874 | NY | MD | Family Medicine Physician |
| MD449428 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJH Medical Services, P.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1750381984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S FRONT ST",
"address_2": "1ST FLOOR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041621",
"telephone_number": "717-231-8540",
"fax_number": "717-231-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W HARRISBURG PIKE",
"city": "MIDDLETOWN",
"state": "PA",
"postal_code": "170574848",
"telephone_number": "717-944-0491",
"fax_number": "717-944-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "211874",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD449428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102877093",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.