WOLF RIDGE MEDICAL WELLNESS (NPI# 1184255481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184255481 |
| Entity Type | Organization |
| Organization Name | WOLF RIDGE MEDICAL WELLNESS |
| Practice Address |
100 New Broadway Apt 404 Rensselaer NY 12144-2159 |
| Practice Telephone | 4015753534 |
| Mailing Telephone | 4015753534 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | BRIAN TSANG (OWNER) |
| Authorized Official Telephone | 4015753534 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WOLF RIDGE MEDICAL WELLNESS PLLC | 100 New Broadway, #404, Rensselaer, Ny 12144 |
| Street Address |
100 NEW BROADWAY APT 404 |
| City | RENSSELAER |
| State | NY |
| Zip Code | 12144-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955567 | Sherisa Moore | Registered Nurse | 17 River Chase Drive, B, Rensselaer, NY 12144 | 2019-10-29 |
| 1811553738 | Joel C Campbell | Licensed Practical Nurse | 419 Northgreenbush Road, Rensselaer, NY 12144 | 2019-05-16 |
| 1063956688 | Ashley F Bertorelli | Physical Therapist | 476 N Greenbush Rd Ste 3, Rensselaer, NY 12144 | 2016-12-16 |
| 1184066060 | Stefanie L Walsh | Physical Therapist | 2 Empire Dr Ste 202, Rensselaer, NY 12144 | 2013-07-22 |
| 1821347550 | C & L Transport Inc. | Non-emergency Medical Transport (VAN) | 27 Columbia Street, Rensselaer, NY 12144 | 2012-09-10 |
| 1639448376 | Harry William Letko | Licensed Practical Nurse | 456b North Greenbush Rd, Rensselaer, NY 12144 | 2011-12-27 |
| 1285901827 | Tammy Ellen Barbour | Registered Nurse | 25 Vanrensselaer Dr., Rensselaer Academy, Rensselaer, NY 12144 | 2011-11-28 |
| 1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
| 1487820064 | Kathleen Powell | Pharmacist | 501 Columbia Turnpike, Price Chopper, Rensselaer, NY 12144 | 2008-05-05 |
| 1609065788 | Stefan J Fosco | Audiologist | 2 Empire Dr Ste 204, Rensselaer, NY 12144 | 2007-10-15 |
| Find all providers in zip 12144 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400130 | Ashley Lynn Vail | Preventive Medicine | 2001 E Main St, Endicott, NY 13760-5622 | 2019-04-26 |
| 1699260760 | Travel Health Medical, PC | Preventive Medicine | 110 E 55th St Fl 16, New York, NY 10022-4568 | 2018-06-29 |
| 1619356979 | Gabriel Feldman | Preventive Medicine | 205 W 88th St, 7g, New York, NY 10024-2351 | 2015-05-20 |
| 1134506173 | Hanjo Kwon-anderson | Preventive Medicine | 12 Ellendale Ct, East Northport, NY 11731-6406 | 2015-04-28 |
| 1962897710 | Matthew Dounel Md Mph Pllc | Preventive Medicine | 3516 Francis Lewis Blvd Unit A, Flushing, NY 11358-1954 | 2015-03-30 |
| 1013335843 | Robert Sheldon Epstein | Preventive Medicine | 75 Tweed Blvd, Nyack, NY 10960-4911 | 2014-03-29 |
| 1770914459 | Carl Li | Preventive Medicine | 270 Farber Hall, 3435 Main Street, Buffalo, NY 14214-8001 | 2013-12-06 |
| 1811339559 | Richard Irving Kirshenbaum | Preventive Medicine | 313 Whitman Dr, Brooklyn, NY 11234-6935 | 2013-07-23 |
| 1487994646 | Lice Busters Inc | Preventive Medicine | 306 Avenue N, Brooklyn, NY 11230-5511 | 2013-02-26 |
| 1003154642 | Steven Jonas | Preventive Medicine | Dept Prev Med Stony Brook University, Hsc L-3, Rm. 113a, Stony Brook, NY 11794-0001 | 2013-01-16 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 12144 |
Please comment or provide details below to improve the information on WOLF RIDGE MEDICAL WELLNESS.
| 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.