A Wolf NP in Family Health and Registered Nursing Services PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

A WOLF NP IN FAMILY HEALTH AND REGISTERED NURSING SERVICES PC

Practice address

1811 Ocean Pkwy Ste 3
Brooklyn, NY 11223-3059

Phone

(929) 434-6947

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Andrew Wolf

Title

NP

Phone

(929) 434-6947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1942885256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 OCEAN PKWY STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233059",
            "telephone_number": "929-434-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 OCEAN PKWY STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233059",
            "telephone_number": "929-434-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WOLF NP IN FAMILY HEALTH AND REGISTERED NURSING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "929-434-6947"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.