IndividualActive
Jonathan Wahl, M.D.
NPI 1821155755 · General Practice Physician · Jericho, NY
Jonathan Wahl, M.D. is a General Practice Physician provider in Jericho, NY (NPI 1821155755).
Provider details
- NPI number
- 1821155755
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 232419 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
471 N Broadway
Suite 278
Jericho, NY 11753-2106
Phone: (516) 695-6340
Fax: (718) 368-0400
Street-level locationGet directions
Mailing address
471 N Broadway
Jericho, NY 11753-2106
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2009-11-03
Frequently asked questions
- What is Jonathan Wahl's NPI number?
- Jonathan Wahl's National Provider Identifier (NPI) is 1821155755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Wahl's specialty?
- Jonathan Wahl is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Jonathan Wahl located?
- Jonathan Wahl's practice location on file with NPPES is 471 N Broadway, Jericho, NY 11753-2106.
- What is Jonathan Wahl's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Wahl is (516) 695-6340.
- Is Jonathan Wahl's NPI active?
- Yes — Jonathan Wahl's NPI (1821155755) is active in the NPPES registry as of the last update on 2009-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.