Individual provider Active NPI

Anna Woolfolk, P.A.

  • Physician Assistant
  • Manhasset, NY
National Provider Identifier
1821466905
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
600 Community Dr
Suite 304
Manhasset, NY 11030-3802
Phone
(516) 823-8821
Fax
(718) 830-1997
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

600 Community Dr
Suite 304
Manhasset, NY 11030-3802

Mailing address

50 Lincoln Rd
Apt. 3F
Brooklyn, NY 11225-3751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160725001214 NY Practitioner - Physician Assistant 7517250806 Reassigns benefits to 6 organizations
I20241218004306 NJ Practitioner - Physician Assistant 7517250806 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians
Midtown New York Doctors Urgent Care PLLCGroup PAC ID 4981851037, 7 clinicians
Excel Urgent Care of NJ LLCGroup PAC ID 9638396849, 21 clinicians

Practice addresses (Care Compare)

1181 State Route 36
Hazlet, NJ 07730-1730
Phone (848) 308-4600

135 Hwy 35
Eatontown, NJ 07724-1813
Phone (848) 308-4911

2040 State Route 33
Neptune City, NJ 07753-6103
Phone (732) 455-5800

205 Lexington Ave
Suite 215
New York, NY 10016-6022
Phone (212) 684-4700

215 Applegarth Rd
Monroe, NJ 08831-3753
Phone (888) 878-1503

2624 Hwy 516
Old Bridge, NJ 08857-2306
Phone (732) 952-5000

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019130NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Mar 1, 2016 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: annawoolfolk.midtownnydoctors@125003.advancedmd-direct.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1821466905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LINCOLN RD",
            "address_2": "APT. 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COMMUNITY DR",
            "address_2": "SUITE 304",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303802",
            "telephone_number": "516-823-8821",
            "fax_number": "718-830-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLFOLK",
        "first_name": "ANNA",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.