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DENISE C. WOLKEN, MD PLLC
NPI 1225541022
Pediatrics in Fayetteville, NY

Active since November 15, 2017CLIA 33D2142331 · Waiver
4000 MEDICAL CENTER DR, SUITE 214, FAYETTEVILLE, NY 13066(315) 991-4180(315) 991-4046 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2024, Nov 15, 2017 (2 updates tracked since 2017).

About Denise C. Wolken, Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENISE C. WOLKEN, MD PLLC (NPI 1225541022) is a healthcare organization registered as a pediatrics in Fayetteville, New York and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Denise C. Wolken, Manager, as its authorized official.

NPPES Registry Identity

NPI1225541022
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDENISE C. WOLKEN, MD PLLC
Location Address4000 MEDICAL CENTER DR, SUITE 214Fayetteville, NY 13066-6624
Mailing Address115 Woodside DrSyracuse, NY 13224-1831 · (315) 415-0886
Phone(315) 991-4180
Fax(315) 991-4046
Organization SubpartNo
Authorized OfficialDenise C. WolkenManager · (315) 991-4180
Enumeration DateNovember 15, 2017
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1225541022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 190114
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4000 MEDICAL CENTER DR, Fayetteville, NY 13066
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2142331

Denise C Wolken MD PLLC · Fayetteville, NY
Active · expires Jan 8, 2028
CLIA Number33D2142331
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorDr. Denise C. Wolken
Laboratory Phone(315) 400-2526
Laboratory LocationDenise C Wolken MD PLLC4000 Medical Center Drive, Suite 214, Fayetteville, NY 13066
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUI WANG
Acupuncturist
4000 MEDICAL CENTER DR, SUITE 209
FAYETTEVILLE, NY 13066
Onondaga County (315) 329-7666
UNITY MOVE PHYSICAL THERAPY WELLNESS PLLC
Clinic/Center (Physical Therapy)
4000 MEDICAL CENTER DR, STE 108
FAYETTEVILLE, NY 13066
Onondaga County (315) 961-6007
TARA BRACKLEY OD
Optometrist
4000 MEDICAL CENTER DR, SUITE 207
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-1010
GERARD S RODZIEWICZ MD
Neurological Surgery
4000 MEDICAL CENTER DR, SUITE 108
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7900
DEVYN LEIGH HARDY FNP-C
Nurse Practitioner (Family)
4000 MEDICAL CENTER DR, UNIT 110
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
ROSHAN GHIMIRE MD
Family Medicine
4000 MEDICAL CENTER DR, SUITE 104
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7878
LAUREN KRISAK GILKEY RPA-C
Physician Assistant
4000 MEDICAL CENTER DR, SUITE 101 D
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-7878
DR. BETH THOMAS WIEDEMAN MD.
Family Medicine
4000 MEDICAL CENTER DR, SUITE 104
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denise C. Wolken, MD PLLC's NPI number?

The NPI number for Denise C. Wolken, MD PLLC is 1225541022. It was assigned to this organization in the NPPES registry on November 15, 2017.

Where is Denise C. Wolken, MD PLLC located?

Denise C. Wolken, MD PLLC is located at 4000 Medical Center Dr Suite 214, Fayetteville, NY 13066. The listed phone number is (315) 991-4180.

What is Denise C. Wolken, MD PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Denise C. Wolken, MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2142331) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Denise C. Wolken, MD PLLC was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.