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DR. JEFFREY S WISCH MD
NPI 1871560664
Specialist in Newton, MA

Active since March 01, 2006PECOS Enrolled
2014 WASHINGTON ST, VERNON CANCER CENTER, NEWTON, MA 02462(617) 658-6000(617) 658-6001 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey S Wisch Md NPPES

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

DR. JEFFREY S WISCH MD (NPI 1871560664) is an individual specialist in Newton, Massachusetts, licensed in Massachusetts (45726) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871560664
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JEFFREY S WISCHCredential: MD
Location Address2014 WASHINGTON ST, VERNON CANCER CENTERNewton, MA 02462-1607
Mailing Address2014 Washington St, Vernon Cancer CenterNewton, MA 02462-1607 · (617) 658-6000 · Fax (617) 658-6001
Phone(617) 658-6000
Fax(617) 658-6001
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateOctober 5, 2009
✔ NPI 1871560664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 45726
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.
2014 WASHINGTON ST, Newton, MA 02462
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Other Identifiers 3

Medicaid0162973MA
Medicare ID-Type UnspecifiedC04968
Medicare UPINB95282

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey S Wisch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. ANDREA L RUSSO M.D.
Radiology (Radiation Oncology)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 219-1200
MAUREEN LAVELLE LICSW
Social Worker (Clinical)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-6664
SHALYNN DOHERTY
Physician Assistant
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 831-7100
MR. KEVIN YAN KOENDERS PA-C
Physician Assistant (Surgical)
2014 WASHINGTON ST, DEPARTMENT OF ORTHOPEDICS
NEWTON, MA 02462
Middlesex County (617) 219-1674
NATHAN DANIEL BUCKLEY PA-C
Physician Assistant (Surgical)
2014 WASHINGTON ST
NEWTON, MA 02462
Middlesex County (617) 243-6000
DR. RONALD KENNETH PYE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2014 WASHINGTON ST, SCN 6 NORTH
NEWTON, MA 02462
Middlesex County (617) 243-6296
DR. TODD EARL ABBOTT M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2014 WASHINGTON ST, NEWTON-WELLESLEY HOSPITAL
NEWTON, MA 02462
Middlesex County (434) 964-1637
DIANE MARIE POULIN RN,NP
Nurse Practitioner (Adult Health)
2014 WASHINGTON ST, NEWTON WELLESLEY HOSPITAL DEPT. OF ANESTHESIA
NEWTON, MA 02462
Middlesex County (617) 243-6298

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 Jeffrey Wisch's NPI number?

The NPI number for Jeffrey Wisch is 1871560664. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Jeffrey Wisch located?

Jeffrey Wisch practices at 2014 Washington St Vernon Cancer Center, Newton, MA 02462. The listed phone number is (617) 658-6000.

What is Jeffrey Wisch's specialty?

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

Is Jeffrey Wisch enrolled in Medicare?

Yes. Jeffrey Wisch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Wisch was last updated on October 5, 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.