Active NPI
Annie Chau Wolfers, MD
- Pediatrics Physician
- Montclair, NJ
National Provider Identifier
1821674920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA12134400
- Practice address
- 314 Orange Rd
Montclair, NJ 07042-4310 - Phone
- (862) 213-0769
- NPI assigned
- Mar 20, 2021
- Last updated
- Jul 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA12134400 | NJ | Primary |
Addresses
Primary practice location
314 Orange Rd
Montclair, NJ 07042-4310
Mailing address
314 Orange Rd
Montclair, NJ 07042-4310
Phone (862) 213-0769
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12134400 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1821674920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 ORANGE RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424310",
"telephone_number": "862-213-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 ORANGE RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424310",
"telephone_number": "862-213-0769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFERS",
"first_name": "ANNIE",
"middle_name": "CHAU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA12134400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
- Wolf Mehlman Psychological Associates LLC
- Wolf Mehlman Psychological Associates LLC
- Wolf Mehlman Psychological Associates, LLC
- Amie Wolf, PH.D.
- Elizabeth Wolfe, CCC-SLP
- Womens Therapy Service of Montclair LLC
- Ruth Wong-Liang, MD
- Judith Pamela Wright, LSW
- WSW Home Care Inc. (Firstlight Home Care of Western Essex County New Jersey)
- Karin Wynne, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.