JONATHAN WOLF (NPI# 1497837272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497837272 |
| Entity Type | Individual |
| Full Name | JONATHAN WOLF |
| Credential | MD |
| Practice Address |
123 Grove Ave Suite 210 Cedarhurst NY 11516 |
| Practice Telephone | 5162950046 |
| Practice Fax Number | 5162957445 |
| Mailing Telephone | 5162950046 |
| Mailing Fax Number | 5162957445 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
1945421 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295278729 | Jonathan Hetrick Wolf | Massage Therapist | 5263 Ne 16th Ave, Portland, OR 97211-4423 | 2016-12-01 |
| 1114165800 | Jonathan Pittman Wolf | Psychiatry & Neurology | 1644 Piccard Dr, Rockville, MD 20850-6693 | 2009-02-03 |
| 1649281486 | Jonathan S Wolf | Internal Medicine | 2 Crosfield Ave, Suite 312, West Nyack, NY 10994-2226 | 2006-08-10 |
| Street Address |
123 GROVE AVE SUITE 210 |
| City | CEDARHURST |
| State | NY |
| Zip Code | 11516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163423 | Marc Joseph Sicklick | Allergy & Immunology | 123 Grove Ave, Ste 110, Cedarhurst, NY 11516-2302 | 2005-06-08 |
| 1336509041 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 123 Grove Ave, Cedarhurst, NY 11516-2322 | 2016-02-24 |
| 1780987198 | Tanya Marton-berg | Dietitian, Registered | 123 Grove Ave, Suite 100, Cedarhurst, NY 11516-2322 | 2010-12-08 |
| 1326211053 | South Shore Rehabilitation Ot PC | Clinic/Center | 123 Grove Ave, Suite 212, Cedarhurst, NY 11516-2322 | 2008-04-02 |
| 1336286442 | Nassau Ophthalmology Assoc PC | Ophthalmology | 123 Grove Ave, Cedarhurst, NY 11516-2322 | 2007-01-30 |
| 1467501767 | Lisa Bogdonoff | Psychiatry & Neurology | 123 Grove Ave, Suite 206, Cedarhurst, NY 11516-2322 | 2007-01-09 |
| 1871658237 | Joan Eileen Murray | Occupational Therapist | 123 Grove Ave, Suite 212, Cedarhurst, NY 11516-2322 | 2006-12-26 |
| 1205944626 | Wendy Ruth Muchnick | Social Worker | 123 Grove Ave, Suite 202, Cedarhurst, NY 11516-2322 | 2006-08-26 |
| 1982611109 | David I Tarkoff | Internal Medicine | 123 Grove Ave, Cedarhurst, NY 11516 | 2006-08-01 |
| 1912912502 | Long Island Cardiovascular Group PC | Internal Medicine | 123 Grove Ave, Suite 216, Cedarhurst, NY 11516 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1336648252 | Daniel M Horowitz | Physical Therapist | 673 Park Lane, Cedarhurst, NY 11516 | 2018-02-06 |
| 1558757203 | Fraidy Horwitz | Dietitian, Registered | 527 Central Place, Cedarhurst, NY 11516 | 2015-04-09 |
| 1760800668 | Spruce Rx, Inc. | Pharmacy | 127a Spruce Street, Cedarhurst, NY 11516 | 2014-03-29 |
| 1578907358 | Rebecca Twerski Ganz | Psychologist | 528 Willow Ave, Cedarhurst, NY 11516 | 2013-04-23 |
| 1235472770 | Karim A. Badawy | Podiatrist | 551 Central Ave Suite 21a, Cedarhusrt, NY 11516 | 2013-04-03 |
| 1043592959 | Nicole T Hamburger | Speech-Language Pathologist | 611 Carlylye St, Cedarhurst, NY 11516 | 2011-09-16 |
| 1407153489 | Wendy Joy Grand | Social Worker | 2 Reilly Rd, Lawrence High School, Cedarhurst, NY 11516 | 2011-02-28 |
| 1518269976 | Susan Zora Gottlieb | Speech-Language Pathologist | 445 Central Ave, Suite 111, Cedarhurst, NY 11516 | 2010-11-17 |
| Find all providers in zip 11516 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1285276378 | Nesconset Medical Associates Pllc | Psychiatry & Neurology | 195 Southern Blvd Ste 104, Nesconset, NY 11767-1738 | 2019-10-10 |
| 1629534474 | Priyadarshan Bajpayi, M.d. PC | Psychiatry & Neurology | 5550 Merrick Rd Ste 200, Massapequa, NY 11758-6238 | 2019-02-18 |
| 1912417106 | Miguel Calimano Md PC | Psychiatry & Neurology | 88 Terry Rd # 7, Smithtown, NY 11787-3811 | 2017-10-03 |
| 1326432238 | Kamehameha Health and Wellness Nonprofit Corporation | Psychiatry & Neurology | 3250 Weschester Avenue, Suite Ll4, Bronx, NY 10461-4548 | 2015-03-28 |
| 1518229400 | Leila Mariam Vaezazizi | Psychiatry & Neurology | 260 E 161st St # C-33, Bronx, NY 10451-3512 | 2012-06-15 |
| 1447529474 | New York Center of Addiction LLC | Psychiatry & Neurology | 506 Willis Avenue, 7th Floor, Bronx, NY 10455 | 2011-12-20 |
| 1750691457 | Apollo Neale Palomares | Psychiatry & Neurology | 78 Lafayette Ave Ste 100, Suffern, NY 10901-5551 | 2010-10-14 |
| 1144534975 | Abha Gupta | Psychiatry & Neurology | 197 Bowery, New York, NY 10002-2867 | 2010-08-04 |
| 1427379932 | Bay Shore Medical Services, P.C. | Psychiatry & Neurology | 56 W Main St # A, Bay Shore, NY 11706-8327 | 2010-06-18 |
| Find all providers with the same taxonomy | ||||
| City | CEDARHURST |
| Zip Code | 11516 |
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| 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.