Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821155755 Individual Practitioner Male Practitioner

Dr. Jonathan Wahl , MD

General Practice • Jericho, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Wahl, MD is a registered healthcare professional specializing in General Practice in Jericho, NY. Practice services are available at 471 N BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

471 N Broadway
Suite 278

Jericho, NY 117532106

Telephone 5166956340
Fax 7183680400

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jericho, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Jericho, NY (818 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 232419

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02848373 (NY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1902040587

REGISTEREDNURSE

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2009

Registered at 471 N BROADWAY, SUITE 278, JERICHO, NY 117532106 (Tel: 5166956340)

📍
Updated Business Mailing Address November 03, 2009

Registered at 471 N BROADWAY, SUITE 278, JERICHO, NY 117532106 (Tel: 5166956340)

👤
Provider Name / Credentials Updated November 03, 2009

Recorded as JONATHAN WAHL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2009

General Practice (License #232419 in NY)

🟢
Initial NPI Registration & Enumeration January 02, 2007

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: 1821155755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: November 03, 2009
Sole Proprietor: No

Mailing Address

471 N Broadway, Suite 278

Jericho, NY 117532106

Phone: 5166956340

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.