Renee Christine Wolf, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

00685 Issued in NJ

Practice address

160 Avenue at the CMN
Suite 1
Shrewsbury, NJ 07702-4802

Phone

(732) 380-0200

Fax

(732) 380-0262

NPI assigned

Apr 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Premier Pain Centers, LLC.

  • Pain Medicine (Anesthesiology) Physician
  • Shrewsbury, NJ
  • NPI 1801987078
  NPD (past)

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1962525782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 AVENUE AT THE CMN",
            "address_2": "SUITE 1",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024802",
            "telephone_number": "732-380-0200",
            "fax_number": "732-380-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE AT THE CMN",
            "address_2": "SUITE 1",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024802",
            "telephone_number": "732-380-0200",
            "fax_number": "732-380-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "RENEE",
        "middle_name": "CHRISTINE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "00685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Williams, MD
• Eric Lee Winarsky, MD
• Winn Jam Inc
• Jennifer Anne Winter, APN
• Wendy Robin Wishnick, AUD
• Sterling Herbert Wood, DO
• Evan Michael Wright, D.O.
• Thomas Joseph Xenakis, PHYSICAL THERAPIST
• Jennifer Yankowsky, PT, DPT
• Jenna Yeo, FNP-BC

• All providers in Shrewsbury, NJ
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.