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ANDREA WOLF
NPI 1821669375
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since July 06, 2021PECOS Enrolled
100 NICOLLS RD, STONY BROOK, NY 11794(631) 632-6000 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2021, Jul 6, 2021 (2 updates tracked since 2021).

About Andrea Wolf NPPES

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

ANDREA WOLF (NPI 1821669375) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821669375
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA WOLF
Location Address100 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address100 Nicolls RdStony Brook, NY 11794-0001 · (631) 632-6000
Phone(631) 632-6000
Sole ProprietorYes
Enumeration DateJuly 6, 2021
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1821669375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 NICOLLS RD, Stony Brook, NY 11794
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Wolf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MALWINA WLOCH M.D.
Anesthesiology
100 NICOLLS RD, SUNY AT STONY BROOK - DEPARTMENT OF ANESTHESIOLOGY
STONY BROOK, NY 11794
Suffolk County (631) 444-2968
CHABIDOU SAMPAIN FNP
Psychiatry & Neurology (Geriatric Psychiatry)
100 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 358-1423
MISS KAITLYN SBROLLINI
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 331-6388
DR. RASAN KASHYAP CHERALA MD
Internal Medicine
100 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (425) 753-8665
EMILY GRACE DEEHAN
Specialist/Technologist (Athletic Trainer)
100 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 632-6000
DR. MUHAMMAD IBRAHIM CHOUDRY MD
Anesthesiology
100 NICOLLS RD, HEALTH SCIENCES CENTER L4-060 (Z8480)
STONY BROOK, NY 11794
Suffolk County (631) 444-2975
DR. KEITH THOMAS DIAZ M.D.
Internal Medicine
100 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
DR. JOSEPH CABALLERO M.D.
Anesthesiology
100 NICOLLS RD, DEPT OF ANESTHESIOLOGY HEALTH SCIENCES CENTER L4 #060
STONY BROOK, NY 11794
Suffolk County (631) 444-2975

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 Andrea Wolf's NPI number?

The NPI number for Andrea Wolf is 1821669375. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Andrea Wolf located?

Andrea Wolf practices at 100 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 632-6000.

What is Andrea Wolf's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrea Wolf enrolled in Medicare?

Yes. Andrea Wolf is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Wolf was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.