Individual provider Active NPI

Aizik L Wolf, MD

  • Neurological Surgery Physician
  • South Miami, FL
National Provider Identifier
1760443766
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0062504 Issued in FL
Practice address
6129 SW 70TH St
South Miami, FL 33143-3451
Phone
(786) 871-6800
Fax
(786) 871-6801
NPI assigned
Mar 29, 2006
Last updated
Jan 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME0062504 FL Primary

Addresses

Primary practice location

6129 SW 70TH St
South Miami, FL 33143-3451

Mailing address

6129 SW 70TH St
South Miami, FL 33143-3451
Phone (786) 871-6800

Other identifiers 1

IdentifierTypeStateIssuer
373478100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080818000163 FL Practitioner - Neurosurgery 7517032147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Yale University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Miami Neuroscience Center LLCGroup PAC ID 6901064112, 10 clinicians

Practice addresses (Care Compare)

6129 SW 70 St
South Miami, FL 33143-3451
Phone (786) 871-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062504FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Neuroscience Center LLC Neurological Surgery CurrentSince Oct 29, 2011 Accepting new patients
Dr Aizik L Wolf PA Neurological Surgery PastSince Aug 11, 2008 Accepting new patients
Miami Neuroscience Center Neurological Surgery Past Accepting new patients

Locations

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

6129 SW 70th St
South Miami, FL 33143
Phone (305) 218-4128

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1760443766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 SW 70TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433451",
            "telephone_number": "786-871-6800",
            "fax_number": "786-871-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 SW 70TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433451",
            "telephone_number": "786-871-6800",
            "fax_number": "786-871-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "AIZIK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0062504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373478100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.