Active NPI
Mitchell Wolf, L.AC.
- Acupuncturist
- New York, NY
National Provider Identifier
1891095733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000712
- Practice address
- 19 W 21St St RM 904
New York, NY 10010-6851 - Phone
- (917) 608-7837
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000712 | NY | Primary |
Addresses
Primary practice location
19 W 21St St RM 904
New York, NY 10010-6851
Mailing address
19 West 21St Street
Suite 904
New York, NY 10010
Phone (917) 608-7837
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000712 | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1891095733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WEST 21ST STREET",
"address_2": "SUITE 904",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "917-608-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 21ST ST RM 904",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106851",
"telephone_number": "917-608-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "000712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.