Jonathan Solomon Wise

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020517 Issued in NY

Practice address

360 Central Ave Apt 228
Lawrence, NY 11559-1695

Phone

(646) 942-7018

NPI assigned

Feb 15, 2011

Last updated

Dec 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Speechwise SLP PLLCGroup PAC ID 2668761826, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speechwise SLP PLLC

  • Speech-Language Pathologist
  • Goshen, NY
  • NPI 1548622210
  Medicare reassignment Care Compare group Authorized official
• Homeside Rehab, PT, OT, SLP LLC

  • Physical Therapy Clinic/Center
  • Monsey, NY
  • NPI 1023258431

  Speech-Language Pathologist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1235436031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SULLIVAN PL APT 5K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252965",
            "telephone_number": "646-942-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE APT 228",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591695",
            "telephone_number": "646-942-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JONATHAN",
        "middle_name": "SOLOMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Jonah Wieder, MD
• Shimshon Wiesel, DO
• Wilks Hearing Center Inc
• Stuart Wilks, AU.D.
• Mark Winkler, FNP
• Joseph Allen Wolf, M.D.
• Miles Jonathan Yacker, DDS
• Yakovs Pharmacy Inc
• Sam Jin Yee, M.D.
• Yitzhak D. Twersky M.D., P.C.

• Speech-Language Pathologist in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.