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MR. KEVIN MICHAEL WISE JR. AGPCNP
NPI 1669300489
Nurse Practitioner - Primary Care in New York, NY

Active since May 12, 2026
550 1ST AVE, NEW YORK, NY 10016(646) 929-7800 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kevin Michael Wise Jr. Agpcnp NPPES

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

MR. KEVIN MICHAEL WISE JR. AGPCNP (NPI 1669300489) is an individual primary care provider in New York, New York, licensed in New York (312573) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1669300489
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. KEVIN MICHAEL WISE JR.Credential: AGPCNP
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address97 Boylan StStaten Island, NY 10312-1421 · (646) 584-5172
Phone(646) 929-7800
Sole ProprietorYes
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1669300489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · 312573
550 1ST AVE, New York, NY 10016
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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. SHARON URALIL D.O.
Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. DIANA TREVAS FLEISHER
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3293
DR. MONICA GUPTA M.D.
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
New York County (212) 263-6397
CHRISTINE CHAN M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MATTHEW CHIARELLO MD
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
DR. MEGAN ELIZABETH JENKINS M.D.
Surgery
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-7300
DR. MANAN PATEL M.D.
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
VICKY CHIANG
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506

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 Kevin Wise's NPI number?

The NPI number for Kevin Wise is 1669300489. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Kevin Wise located?

Kevin Wise practices at 550 1st Ave, New York, NY 10016. The listed phone number is (646) 929-7800.

What is Kevin Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kevin Wise was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.