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JONATHAN SOLOMON WISE
NPI 1235436031
Speech-Language Pathologist in Lawrence, NY

Active since February 15, 2011Accepts Medicare Assignment
360 CENTRAL AVE APT 228, LAWRENCE, NY 11559(646) 942-7018 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Solomon Wise NPPES

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

JONATHAN SOLOMON WISE (NPI 1235436031) is an individual speech-language pathologist provider in Lawrence, New York, licensed in New York (020517) and active in the NPI registry since February 2011. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1235436031
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJONATHAN SOLOMON WISE
Location Address360 CENTRAL AVE APT 228Lawrence, NY 11559-1695
Mailing Address301 Sullivan Pl Apt 5kBrooklyn, NY 11225-2965 · (646) 942-7018
Phone(646) 942-7018
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 15, 2011
Last NPPES UpdateDecember 22, 2015
✔ NPI 1235436031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 020517
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
360 CENTRAL AVE APT 228, Lawrence, NY 11559
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Solomon Wise is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749579902
PECOS Enrollment IDI20160512000140

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 Wise's NPI number?

The NPI number for Jonathan Wise is 1235436031. It was assigned to this individual provider in the NPPES registry on February 15, 2011.

Where is Jonathan Wise located?

Jonathan Wise practices at 360 Central Ave Apt 228, Lawrence, NY 11559. The listed phone number is (646) 942-7018.

What is Jonathan Wise's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jonathan Wise enrolled in Medicare?

Yes. Jonathan Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Wise was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.