DR. JAMES PETER WOLBERG (NPI# 1538371331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538371331 |
| Entity Type | Individual |
| Full Name | DR. JAMES PETER WOLBERG |
| Credential | MD |
| Practice Address |
1st Ave & 16th St Bernstein Pavilion New York NY 10003 |
| Mailing Address |
199 Clinton St #4 Brooklyn NY 11201-6259 |
| Practice Telephone | 2124204566 |
| Mailing Telephone | 7184220192 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
191703 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | P1075026 | 05 |
| Street Address |
1ST AVE & 16TH ST BERNSTEIN PAVILION |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689820474 | Timothy Koehler Brennan | Psychiatry & Neurology | 1000 10th Ave Fl 8, New York, NY 10019 | 2008-08-12 |
| 1821295577 | Marianne Elizabeth Chai | Psychiatry & Neurology | 226 E 52nd St, Center for Living, New York, NY 10022-6201 | 2007-06-27 |
| 1578786141 | Bryan James Mcgreal | Psychiatry & Neurology | 324 Lafayette St Fl 8, New York, NY 10012-2726 | 2007-04-11 |
| 1366563652 | Steven Joesph Lee | Psychiatry & Neurology | 130 W. 19th St., Suite Thfb, New York, NY 10011 | 2007-04-03 |
| 1245383405 | John J Mariani | Psychiatry & Neurology | 51 E 25th St Ste 7e, New York, NY 10010-2945 | 2007-01-19 |
| 1821148453 | Michael Siegell | Psychiatry & Neurology | 750 Park Ave Ste C, New York, NY 10021-4252 | 2007-01-12 |
| 1548323959 | Richard Rosner | Psychiatry & Neurology | 140 E 83rd St Apt 6a, New York, NY 10028-1928 | 2006-12-18 |
| 1407936321 | Daniel Garza | Psychiatry & Neurology | 330 W 58th St Ste 203, New York, NY 10019-1822 | 2006-10-16 |
| 1063420057 | Gregory Charles Bunt | Psychiatry & Neurology | 54 West 40th Street, New York, NY 10018 | 2006-08-04 |
| 1437172426 | Ramon Emilio Ravelo | Psychiatry & Neurology | 632 W 185th St, New York, NY 10033-3101 | 2006-07-25 |
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| 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.