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JENNIFER GRACE WILEY
NPI 1821351602
Specialist in Lake Ronkonkoma, NY

Active since June 18, 2012
10 CENTER ST, LAKE RONKONKOMA, NY 11779(631) 428-3508 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jennifer Grace Wiley NPPES

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

JENNIFER GRACE WILEY (NPI 1821351602) is an individual specialist in Lake Ronkonkoma, New York, licensed in New York (899067) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1821351602
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER GRACE WILEY
Location Address10 CENTER STLake Ronkonkoma, NY 11779-4524
Mailing Address10 Center StLake Ronkonkoma, NY 11779-4524 · (631) 428-3508
Phone(631) 428-3508
Sole ProprietorYes
Enumeration DateJune 18, 2012
✔ NPI 1821351602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 899067
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10 CENTER ST, Lake Ronkonkoma, NY 11779
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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 Jennifer Wiley's NPI number?

The NPI number for Jennifer Wiley is 1821351602. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Jennifer Wiley located?

Jennifer Wiley practices at 10 Center St, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 428-3508.

What is Jennifer Wiley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wiley was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.