1. Home
  2. Directory
  3. New York
  4. Smithtown
  5. Obstetrics Gynecology
  6. NPI Profile

DR. JERRY A WIDER M.D.
NPI 1447360615
Obstetrics & Gynecology - Obstetrics in Smithtown, NY

Active since August 30, 2006
48 ROUTE 25A, SUITE 207, SMITHTOWN, NY 11787(631) 862-3800 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry A Wider M.d. NPPES

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

DR. JERRY A WIDER M.D. (NPI 1447360615) is an individual obstetrics provider in Smithtown, New York, licensed in New York (092304) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1447360615
Entity TypeIndividualMale
Primary Taxonomy207VX0000X
Provider Legal NameDR. JERRY A WIDERCredential: M.D.
Location Address48 ROUTE 25A, SUITE 207Smithtown, NY 11787-1431
Mailing Address22 Waterville Rd, Whny Managed CareAvon, CT 06001-2066 · (860) 676-7421
Phone(631) 862-3800
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1447360615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in NY · 092304
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 092304 (NY)
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 092304 (NY)
48 ROUTE 25A, Smithtown, NY 11787
Open in Google Maps ↗

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.

DR. VINEET GAMBHIR MD
Anesthesiology
48 ROUTE 25A, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 862-3413
DR. DORIS TAMAI D.O.
Anesthesiology
48 ROUTE 25A, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 862-3413
DR. CAROLYN TRUNCA PH.D.
Medical Genetics, Ph.D. Medical Genetics
48 ROUTE 25A, SUITE 205
SMITHTOWN, NY 11787
Suffolk County (631) 862-3620
MR. ZVI A ALPERN MD
Internal Medicine (Gastroenterology)
48 ROUTE 25A, STE 307
SMITHTOWN, NY 11787
Suffolk County (631) 265-0062
JOSEPH R VITOLO MD PC
Surgery
48 ROUTE 25A, SUITE 308
SMITHTOWN, NY 11787
Suffolk County (631) 265-5544
DR. JEANY PIERRE-LOUIS M.D.
Anesthesiology
48 ROUTE 25A, SUITE 101
SMITHTOWN, NY 11787
Suffolk County (631) 862-3413
SOUTHWEST SUFFOLK MEDICAL, P.C.
Surgery (Surgical Oncology)
48 ROUTE 25A
SMITHTOWN, NY 11787
Suffolk County (631) 862-3000
RAKESH B. PATEL PHYSICIAN PC
Specialist
48 ROUTE 25A, SUITE 103
SMITHTOWN, NY 11787
Suffolk County (631) 784-7373

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 Jerry Wider's NPI number?

The NPI number for Jerry Wider is 1447360615. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jerry Wider located?

Jerry Wider practices at 48 Route 25A Suite 207, Smithtown, NY 11787. The listed phone number is (631) 862-3800.

What is Jerry Wider's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

When was this NPI record last updated?

The NPPES record for Jerry Wider was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.