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JONATHAN WOLF MD
NPI 1497837272
Psychiatry & Neurology - Addiction Psychiatry in Cedarhurst, NY

Active since October 20, 2006Opted out of Medicare · through Jul 3, 2027
123 GROVE AVE, SUITE 210, CEDARHURST, NY 11516(516) 295-0046(516) 295-7445 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Wolf Md NPPES

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

JONATHAN WOLF MD (NPI 1497837272) is an individual addiction psychiatry provider in Cedarhurst, New York, licensed in New York (1945421) and active in the NPI registry since October 2006. He has opted out of Medicare through July 3, 2027 and remains eligible to order and refer and is a graduate of State University Of New York Downstate Medical Center (1992).

NPPES Registry Identity

NPI1497837272
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameJONATHAN WOLFCredential: MD
Location Address123 GROVE AVE, SUITE 210Cedarhurst, NY 11516
Mailing Address123 Grove Ave, Suite 210Cedarhurst, NY 11516 · (516) 295-0046 · Fax (516) 295-7445
Phone(516) 295-0046
Fax(516) 295-7445
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1992
Enumeration DateOctober 20, 2006
Last NPPES UpdateAugust 6, 2009
✔ NPI 1497837272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in NY · 1945421
Definition

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.

123 GROVE AVE, Cedarhurst, NY 11516
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Other Identifiers 1

Medicare ID-Type Unspecified52M831NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jonathan Wolf Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 3, 2017 through July 3, 2027.

Opt-Out Effective DateJuly 3, 2017
Opt-Out In Effect ThroughJuly 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 17

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

FREDDIE M MARTON
Psychiatry & Neurology (Neurology)
123 GROVE AVE, STE 100
CEDARHURST, NY 11516
Nassau County (516) 374-5297
MRS. WENDY RUTH MUCHNICK LCSW
Social Worker (Clinical)
123 GROVE AVE, SUITE 202
CEDARHURST, NY 11516
Nassau County (516) 569-7805
DR. MICHAEL E. MARGULIS M.D.
Ophthalmology
123 GROVE AVE, SUITE 214
CEDARHURST, NY 11516
Nassau County (516) 374-6900
SOUTH SHORE REHABILITATION OT PC
Clinic/Center (Rehabilitation)
123 GROVE AVE, SUITE 212
CEDARHURST, NY 11516
Nassau County (516) 295-5002
NASSAU OPHTHALMOLOGY ASSOC PC
Ophthalmology
123 GROVE AVE
CEDARHURST, NY 11516
Nassau County (576) 374-6900
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Occupational Therapist
123 GROVE AVE
CEDARHURST, NY 11516
Nassau County (516) 374-4248
DR. DAVID S. KIRSCH M.D.
Ophthalmology
123 GROVE AVE, SUITE 214
CEDARHURST, NY 11516
Nassau County (516) 374-6900
LISA BOGDONOFF MD
Psychiatry & Neurology (Psychiatry)
123 GROVE AVE, SUITE 206
CEDARHURST, NY 11516
Nassau County (516) 295-3353

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 Jonathan Wolf's NPI number?

The NPI number for Jonathan Wolf is 1497837272. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Jonathan Wolf located?

Jonathan Wolf practices at 123 Grove Ave Suite 210, Cedarhurst, NY 11516. The listed phone number is (516) 295-0046.

What is Jonathan Wolf's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Jonathan Wolf enrolled in Medicare?

No. Jonathan Wolf has opted out of Medicare through July 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jonathan Wolf was last updated on August 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.