DR. JEFFREY B WANERMAN M.D. NPI 1235230004

NPI Information

  • NPI: 1235230004
  • Provider Name: DR. JEFFREY B WANERMAN, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 BROADWAY
    AMITYVILLE, NY
    ZIP 11701
  • Phone: (631) 789-3999

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NPI Details

DR. Jeffrey B Wanerman, M.D. is an obstetrics gynecology in Amityville, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jeffrey B Wanerman, M.D. NPI is 1235230004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

333 BROADWAY
AMITYVILLE, NY
ZIP 11701-719
Phone: (631) 789-3999
Fax: (631) 789-0809

The NPI 1235230004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology164953NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E87495MEDICARE UPINNEW YORK
2W02451MEDICARE ID-TYPE UNSPECIFIEDNEW YORKGROUP MEDICARE NUMBER
301384207MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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