Active NPI
Carol Ann Wollman, MD
- Diagnostic Radiology Physician
- Woodcliff Lake, NJ
National Provider Identifier
1831344019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA06660400
- Practice address
- 122 Brookview Dr
Woodcliff Lake, NJ 07677-8236 - Phone
- (201) 573-0735
- Fax
- (201) 573-0798
- NPI assigned
- Dec 1, 2008
- Last updated
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 036092925 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 036092925 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA06660400 | NJ | Primary |
Addresses
Primary practice location
122 Brookview Dr
Woodcliff Lake, NJ 07677-8236
Mailing address
122 Brookview Dr
Woodcliff Lake, NJ 07677-8236
Phone (201) 573-0735
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 |
|---|---|---|---|
| 036092925 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence G Seltzer MD PA | Diagnostic Radiology | Past | Accepting new patients |
| Passaic Imaging Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| Northwest Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
| TLC Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Westfield, NJ
- NPI 1215163027
-
- Diagnostic Radiology Physician
- Denville, NJ
- NPI 1356390561
-
dba Passaic Imaging Associates
- Diagnostic Radiology Physician
- Passaic, NJ
- NPI 1245814623
-
- Diagnostic Radiology Physician
- Bedford Hills, NY
- NPI 1821253360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1831344019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 BROOKVIEW DR",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778236",
"telephone_number": "201-573-0735",
"fax_number": "201-573-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 BROOKVIEW DR",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778236",
"telephone_number": "201-573-0735",
"fax_number": "201-573-0798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLMAN",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "IL",
"license": "036092925",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036092925",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA06660400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodcliff Lake, NJ
- Wendy Lynn Polhemus (Hands On Family Chiropractic)
- Nancy Wernikoff
- Karin Williams, LCSW
- Wittlinger Orthodontics, PA
- Eric Wittlinger, D.D.S.
- Womens Total Health of Woodcliff Lake LLC
- Woodcliff Lake Health & Rehabiltation Center, LLC
- Woodcliff Lake Health and Rehabilitation Center, LLC
- Woodcliff Lake Ophthalmology, LLP.
- Woodcliff Lake Optical LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.