Adam Bernard Woldow, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD439362 Issued in PA

Practice address

853 2ND Street Pike
Suite A1
Richboro, PA 18954-1082

Phone

(215) 485-5713

Fax

(215) 485-5419

NPI assigned

Jun 4, 2007

Last updated

Oct 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Dermatology

Education

Jefferson Medical College of Thomas Jefferson University, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Certified Dermatology PCGroup PAC ID 0345569992, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Certified Dermatology PC

  • Dermatology Physician
  • Richboro, PA
  • NPI 1932592144
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel S. Kessel MD PC

  • Dermatology Physician
  • Hamilton Square, NJ
  • NPI 1598056558
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1750583316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 2ND STREET PIKE",
            "address_2": "SUITE A1",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541082",
            "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 2ND STREET PIKE",
            "address_2": "SUITE A1",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541082",
            "telephone_number": "215-485-5713",
            "fax_number": "215-485-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDOW",
        "first_name": "ADAM",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD439362",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08723400",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "PA",
            "license": "MD439362",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD439362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Health Mid-Atlantic Medical Group (St. Mary Family Practice - Richboro)
• Natalya Tsyrulnik, PT
• Polina Vaynblat, D.M.D.
• Walgreen Co (Walgreens #13942)
• Arthur Weiss, D.P.M.
• Sonia Woldow, PA-C
• Jaime E Wolf, D.O.
• Gertrude Wouch
• Kimberly Ann Yeager-Rose, DC
• Scott Richard Zeigen, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.