MR. MARK WOLF (NPI# 1750566147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750566147 |
| Entity Type | Individual |
| Full Name | MR. MARK WOLF |
| Credential | RPH |
| Practice Address |
5560 Myrtle Ave Ridgewood NY 11385-3554 |
| Practice Telephone | 7184568555 |
| Practice Fax Number | 7183866056 |
| Mailing Telephone | 7184568555 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 035005 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01562481 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023043973 | Mark D Wolf | Internal Medicine | 2055 Bloomfield Woods Ct, West Bloomfield, MI 48323-1915 | 2006-07-11 |
| 1942838750 | Mark Wolf | Student in an Organized Health Care Education/Training Program | 1000 S Limestone, Lexington, KY 40536-0001 | 2020-03-28 |
| 1659441103 | Mark R. Wolf | Dentist | 533 W North Ave., Suite 200, Elmhurst, IL 60126-2100 | 2006-11-09 |
| 1861576415 | Mark J Wolf | Obstetrics & Gynecology | 103 E 23rd St, Panama City, FL 32405-4501 | 2006-10-24 |
| 1740396829 | Mark T Wolf | Psychiatry & Neurology | 322 W North River Dr, Rfm - Riverfront Medical Center, Spokane, WA 99201-3208 | 2006-08-22 |
| 1487767299 | Mark William Wolf | Physical Therapist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2006-08-16 |
| 1669449237 | Mark Robert Wolf | Obstetrics & Gynecology | 7720 S Broadway, Ste 250, Littleton, CO 80122 | 2006-03-02 |
| 1023016185 | Mark Wolf | Obstetrics & Gynecology | 1000 Asylum Ave, Suite 4319, Hartford, CT 06105-1770 | 2005-07-13 |
| Street Address |
5560 MYRTLE AVE |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114440070 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2017-07-24 |
| 1326452996 | Christina H Rezk | Pharmacist | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2014-06-11 |
| 1851642813 | David Hyun Lee | Pharmacist | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2012-09-30 |
| 1396050126 | Jenny Chen | Pharmacist | 5560 Myrtle Ave, Ridgewood, NY 11385-3554 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493624 | Lorena Mavriqi | Pharmacist | 6120 Palmetto St, Ridgewood, NY 11385-3304 | 2020-09-24 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1366978165 | Vladislav Tsimbler | Pharmacist | 6135 Woodbine St, Apt 4r, Ridgewood, NY 11385-8700 | 2017-05-11 |
| 1669915526 | Madhura Bhalerao | Pharmacist | 394 Berkshire Rd, Ridgewood, NJ 07450-5504 | 2016-11-28 |
| 1295283414 | Art Anthony Cina | Pharmacist | 329 Wyckoff Ave, Ridgewood, NY 11385-2753 | 2016-09-16 |
| 1881148252 | Robert Tong | Pharmacist | 6644 Forest Ave, Ridgewood, NY 11385-3101 | 2016-08-15 |
| 1427413525 | Natalya Kiseleva | Pharmacist | 695 Midwood Rd, Ridgewood, NJ 07450-5537 | 2015-12-16 |
| 1326439449 | Ewelina Kalinowska | Pharmacist | 1888 Dekalb Ave, Ridgewood, NY 11385-1119 | 2015-02-11 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1942633524 | Donna Chen | Pharmacist | 6418 Gates Ave, Ridgewood, NY 11385-3321 | 2013-08-18 |
| Find all providers in RIDGEWOOD | ||||
Please comment or provide details below to improve the information on MR. MARK WOLF.
| 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.