Individual provider Active NPI

Anthony Wolke, DC

  • Chiropractor
  • North Haledon, NJ
National Provider Identifier
1962571836
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00603900 Issued in NJ
Practice address
535 High Mountain Rd
North Haledon, NJ 07508-2665
Phone
(973) 423-9001
Fax
(973) 423-5525
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00603900 NJ Primary

Addresses

Primary practice location

535 High Mountain Rd
North Haledon, NJ 07508-2665

Mailing address

535 High Mountain Rd
North Haledon, NJ 07508-2665
Phone (973) 423-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000685 NJ Practitioner - Chiropractic 4385650639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

535 High Mountain Rd
Suite 104
North Haledon, NJ 07508-2652
Phone (973) 423-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wolke Chiropractic & Rehabilitation, P.C. Chiropractor CurrentSince Aug 27, 2009 Accepting new patients
Chiropratic Associates of Garfield Chiropractor Current Accepting new patients
Wolke Chiropractic & Rehabilitation, PC Chiropractor CurrentSince Aug 27, 2009 Accepting new patients
Chiropractic Rehabiliation Center of Verona, P.C. Chiropractor PastSince Dec 14, 2010 Accepting new patients

Locations

397 Haledon Ave
Ste 103
Haledon, NJ 07508
Phone (973) 423-9001

535 High Mountain Rd
North Haledon, NJ 07508
Phone (973) 427-2711

535 High Mountain Rd
Ste 104
North Haledon, NJ 07508
Phone (973) 423-9001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1962571836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HIGH MOUNTAIN RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082665",
            "telephone_number": "973-423-9001",
            "fax_number": "973-423-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HIGH MOUNTAIN RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082665",
            "telephone_number": "973-423-9001",
            "fax_number": "973-423-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKE",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00603900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.