DR. JAY M WILSON MD NPI 1902825482

NPI Information

  • NPI: 1902825482
  • Provider Name: DR. JAY M WILSON, MD
  • Classification: Surgery - 2086S0102X
  • Specialization: Surgical Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 LONGWOOD AVE
    FEGAN 3
    BOSTON, MA
    ZIP 02115
  • Phone: (617) 355-6019

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NPI Details

DR. Jay M Wilson, MD is a surgical critical care surgery in Boston, MA. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Jay M Wilson, MD NPI is 1902825482. 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:

300 LONGWOOD AVE
FEGAN 3
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-6019
Fax: (617) 730-0477

The NPI 1902825482 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 7/18/2006 and was last updated on 9/11/2025.

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
1208600000XSurgery57801MASSACHUSETTSNo
22086S0102XSurgerySurgical Critical Care57801MASSACHUSETTSYes
32086S0120XSurgeryPediatric Surgery57801MASSACHUSETTSNo

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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