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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JEROME WILDES M.D
NPI 1619961539
Allergy & Immunology - Allergy in Howard Beach, NY

Active since September 07, 2005
9116 158TH AVE, HOWARD BEACH, NY 11414(718) 835-3454(516) 239-3743 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Nov 5, 2021 (2 updates tracked since 2021).

About Dr. Jerome Wildes M.d NPPES

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

DR. JEROME WILDES M.D (NPI 1619961539) is an individual allergy provider in Howard Beach, New York, licensed in New York (081878) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1619961539
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameDR. JEROME WILDESCredential: M.D
Location Address9116 158TH AVEHoward Beach, NY 11414-3126
Mailing Address222 BroadwayLawrence, NY 11559-1502 · (516) 371-6745 · Fax (516) 239-3743
Phone(718) 835-3454
Fax(516) 239-3743
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1619961539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in NY · 081878
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
9116 158TH AVE, Howard Beach, NY 11414
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS A BIZZARO MD
Internal Medicine (Cardiovascular Disease)
9116 158TH AVE
HOWARD BEACH, NY 11414
Queens County (718) 738-7732

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 Jerome Wildes's NPI number?

The NPI number for Jerome Wildes is 1619961539. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Jerome Wildes located?

Jerome Wildes practices at 9116 158th Ave, Howard Beach, NY 11414. The listed phone number is (718) 835-3454.

What is Jerome Wildes's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

When was this NPI record last updated?

The NPPES record for Jerome Wildes was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.