MR. JASON ANDREW WOLK RN NPI 1407013477

NPI Information

NPI: 1407013477
Provider Name: MR. JASON ANDREW WOLK, RN
Classification: Registered Nurse - 163WP0200X
Specialization: Pediatrics
Entity Type: Individual
Address: 26 WINDING PATH APT 15
MANORVILLE, NY
ZIP 11949
Phone: (516) 987-6607

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NPI Details

MR. Jason Andrew Wolk, RN is a pediatrics registered nurse in Manorville, NY. MR. Jason Andrew Wolk, RN NPI is 1407013477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26 WINDING PATH APT 15
MANORVILLE, NY
ZIP 11949-258
Phone: (516) 987-6607

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	528454-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02365731	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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