Dr Jerome Wildes, MD is a
Allergy & Immunology - Allergy physician based in Howard Beach, New York. Dr Jerome Wildes is licensed to practice in New York (license number 081878) and his current practice location is 9116 158th Ave, Howard Beach, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 835-3454.
NPI number for Dr Jerome Wildes is 1619961539 and his current mailing address is 222 Broadway, Lawrence, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619961539.
Physician's Profile
| Full Name | Dr Jerome Wildes |
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| Gender | Male |
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| Speciality | Allergy & Immunology - Allergy |
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| Location | 9116 158th Ave, Howard Beach, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619961539
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 11/05/2021
Medical Identifiers
Medical identifiers for Dr Jerome Wildes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619961539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | 081878 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerome Wildes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerome Wildes, MD
222 Broadway,
Lawrence, NY 11559-1502
Ph: (516) 371-6745 | Dr Jerome Wildes, MD
9116 158th Ave,
Howard Beach, NY 11414-3126
Ph: (718) 835-3454 |
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