DR. JEROME WILDES M.D NPI 1619961539

NPI Information

NPI: 1619961539
Provider Name: DR. JEROME WILDES, M.D
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

PECOS Registration: Yes

Address:
9116 158TH AVE
HOWARD BEACH, NY
ZIP 11414
Phone: (718) 835-3454
Get Directions

DR. Jerome Wildes, M.D is an allergy allergy immunology in Howard Beach, NY. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee DR. Jerome Wildes, M.D NPI is 1619961539. 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:

9116 158TH AVE
HOWARD BEACH, NY
ZIP 11414-126
Phone: (718) 835-3454
Fax: (516) 239-3743

The NPI 1619961539 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 11/5/2021.

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
1	207KA0200X	Allergy & Immunology	Allergy	081878	NEW YORK	Yes

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: 5/5/2024

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