IndividualActive
Jonathan Wan, DO
NPI 1154944585 · Pediatrics Physician · Miami, FL
Provider details
- NPI number
- 1154944585
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3100 Sw 62nd Ave
Miami, FL 33155-3009
Phone: (786) 624-2825
Fax: (305) 669-6531
Street-level locationGet directions
Mailing address
3100 Sw 62nd Ave
Miami, FL 33155-3009
Registry dates
- Enumerated
- 2020-05-20
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.