MS. PHYLLIS JOAN WOLFF


Address: 1723 N Ocean Ave, Medford, NY 11763-2649
Phone: 6317585858

MS. PHYLLIS JOAN WOLFF (NPI# 1164471694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164471694
Entity Type Individual
Full Name MS. PHYLLIS JOAN WOLFF
Credential N.P.
Practice Address 1723 N Ocean Ave
Medford
NY 11763-2649
Practice Telephone 6317585858
Mailing Telephone 6317585858
Enumeration Date 2006-05-10
Last Update Date 2012-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
301342 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1723 N OCEAN AVE
City MEDFORD
State NY
Zip Code 11763-2649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982652533 Craig Barry Wexler Internal Medicine 1723 N Ocean Ave, Medford, NY 11763-2649 2006-05-05
1295387488 Danielle Parnell Nurse Practitioner 1723 N Ocean Ave, Medford, NY 11763-2687 2019-07-09
1700238623 Courtney Nicholas Nurse Practitioner 1723 N Ocean Ave, Medford, NY 11763-2687 2016-07-02
1932410826 Sujata Kumbar Internal Medicine 1723 N Ocean Ave, Medford, NY 11763-2649 2010-06-25
1265658512 Michael Schaefer Internal Medicine 1723 N Ocean Ave, Medford, NY 11763-2649 2007-04-17
1245288711 Clara E Lengyel-kremenic Specialist 1723 N Ocean Ave, Medford, NY 11763-2649 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316572027 Rebecca Molino Specialist 9, 3251 Ny-112 #2, Medford, NY 11763 2020-03-03
1295203677 Hajar Taman Pharmacist 2975 Horseblock Road, Medford, NY 11763 2018-11-05
1265917041 Bay Taxi Inc Taxi 36/94 Horseblock Rd, Medford, NY 11763 2018-09-27
1184108383 Bay Taxi Inc Taxi 36/94 Horsblock Road, Medford, NY 11763 2018-09-24
1215419650 Megan Bell Speech-Language Pathologist 135 Buffalo Avenue, Medford, NY 11763 2018-09-01
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
1609383389 Federation of Organizations for The New York State Mentally Disabled Clinic/Center 3390 Route 112 Ste B, Medford, NY 11763 2018-01-04
1497109607 Tabitha Aitken Massage Therapist 28 Masem Ct, Medford, NY 11763 2016-04-14
1518326685 Betty Velez Specialist 21 Red Pine Rd, Medford, NY 11763 2016-02-18
1134527054 Angelo L D'esposito Social Worker 77 Robinson Ave, Medford, NY 11763 2014-12-09
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487216743 Lisa Susan Williams Nurse Practitioner 76 Southaven Ave Ste 5, Medford, NY 11763-3745 2019-07-07
1003839424 Christine Ann Stanek Nurse Practitioner 2859 State Street, Suite 101, Medford, OR 97504 2006-07-26
1114997244 Eileen Weldon Stiles Nurse Practitioner 520 Medical Center Drive, Suite 201, Medford, OR 97504-4434 2006-01-23
1134129133 Barbara Anne Stewart Nurse Practitioner 2960 Doctors Park Dr, Medford, OR 97504-8127 2005-08-01
1295391985 Kag Professional Nurse Practioner In Adult Health Pllc Nurse Practitioner 3115 Horseblock Rd, Medford, NY 11763-2526 2019-05-17
1013458405 Elysian Health Nurse Practitioner 835 Crater Lake Ave, Medford, OR 97504-6505 2017-03-17
1801335336 Julia Ann Smith Nurse Practitioner 811 W Broadway Ave, Medford, WI 54451-1307 2017-02-16
1528506334 Rebecca Rampton Nurse Practitioner 3617 S Pacific Hwy, Medford, OR 97501-8957 2017-02-01
1700238623 Courtney Nicholas Nurse Practitioner 1723 N Ocean Ave, Medford, NY 11763-2687 2016-07-02
1871983353 Nancy Obispo Nurse Practitioner 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 2015-02-04
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Competitor

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City MEDFORD
Zip Code 11763

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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