Individual provider Active NPI

Jonathan M. Waxner, M.D.

  • Pulmonary Disease Physician
  • Great Neck, NY
National Provider Identifier
1306884192
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
188107 Issued in NY
Practice address
233 E Shore Rd
#112
Great Neck, NY 11023-2433
Phone
(516) 482-7810
Fax
(516) 482-3760
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 188107 NY Primary

Addresses

Primary practice location

233 E Shore Rd
#112
Great Neck, NY 11023-2433

Mailing address

233 E Shore Rd
#112
Great Neck, NY 11023-2433
Phone (516) 482-7810

Other identifiers 1

IdentifierTypeStateIssuer
01610246MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000435 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800887654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
New York Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 N Village Ave
Rockville Center, NY 11570-1000

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

Hospital & facility affiliations

  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
188107NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Oct 1, 2016 Accepting new patients
CHS Physician Partners, P.C CurrentSince Nov 9, 2020 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients

Locations

233 E Shore Rd
Ste 112
Great Neck, NY 11023
Phone (516) 482-7810

643 Broadway
Massapequa, NY 11758
Phone (516) 798-1066

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jwaxner24000@direct-chsli.net

Organizations & group practices 3

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306884192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E SHORE RD",
            "address_2": "#112",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232433",
            "telephone_number": "516-482-7810",
            "fax_number": "516-482-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E SHORE RD",
            "address_2": "#112",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232433",
            "telephone_number": "516-482-7810",
            "fax_number": "516-482-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXNER",
        "first_name": "JONATHAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "188107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01610246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.