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DR. JONATHAN WAHL M.D.
NPI 1821155755
General Practice in Jericho, NY

Active since January 02, 2007
471 N BROADWAY, SUITE 278, JERICHO, NY 11753(516) 695-6340(718) 368-0400 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan Wahl M.d. NPPES

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

DR. JONATHAN WAHL M.D. (NPI 1821155755) is an individual general practice provider in Jericho, New York, licensed in New York (232419) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1821155755
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JONATHAN WAHLCredential: M.D.
Location Address471 N BROADWAY, SUITE 278Jericho, NY 11753-2106
Mailing Address471 N Broadway, Suite 278Jericho, NY 11753-2106 · (516) 695-6340 · Fax (718) 368-0400
Phone(516) 695-6340
Fax(718) 368-0400
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateNovember 3, 2009
✔ NPI 1821155755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 232419
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
471 N BROADWAY, Jericho, NY 11753
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Other Identifiers 5

Medicaid02848373NY
Medicare PINA400008015NY
Medicare PINA400017284NY
Medicare UPINI74217NY
Medicare PIN4825XCK011NY

Other Providers at the Same Location NPPES

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

MS. JANET ALLEN REGISTERED NURSE
Registered Nurse
471 N BROADWAY, SUITE 271
JERICHO, NY 11753
Nassau County (516) 466-7073

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 Wahl's NPI number?

The NPI number for Jonathan Wahl is 1821155755. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Jonathan Wahl located?

Jonathan Wahl practices at 471 N Broadway Suite 278, Jericho, NY 11753. The listed phone number is (516) 695-6340.

What is Jonathan Wahl's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Wahl was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.