Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720049760 Individual Practitioner Male Practitioner

Dr. Jonathan Philip Winickoff , MD MPH

Pediatrics • Waltham, MA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Winickoff, MD MPH is a registered healthcare professional specializing in Pediatrics in Waltham, MA. Practice services are available at 40 2ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

40 2nd Ave
Ste 400 Mass General West Medical Group Waltham

Waltham, MA 02451

Telephone 7815229000
Fax 7815229095
Associated Practice Facility / Clinic
🏢 John D Meola, D.d.s., P.c. Facility NPI 1063513869

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Waltham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.7 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Waltham, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 205857

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0100650 (MA)
Commercial Insurance / Payer ID Bcbs Ma
J22483 (MA)
Commercial Insurance / Payer ID Tufts Health Plan
205857 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1114908902

Doctor of Medicine (M.D.)

Dr. Abdul Asmal , MD PHD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1144210832

MDPHD

NPI 1568453181

Doctor of Medicine (M.D.)

NPI 1619942661

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 40 2ND AVE, STE 400 MASS GENERAL WEST MEDICAL GROUP WALTHAM, WALTHAM, MA 02451 (Tel: 7815229000)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 021299142 (Tel: 6177240287)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN WINICKOFF, MD MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #205857 in MA)

🟢
Initial NPI Registration & Enumeration March 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720049760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

Po Box 9142, Mass General Physician Organization

Charlestown, MA 021299142

Phone: 6177240287

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.