Individual provider Active NPI

William J Wonderling, P.A.

  • Physician Assistant
  • Wellsville, NY
National Provider Identifier
1356498604
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005775-1 Issued in NY
Practice address
313 N Main St
Wellsville, NY 14895-1016
Phone
(585) 596-2053
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5775 NY
Physician Assistant 363A00000X 005775-1 NY Primary

Addresses

Primary practice location

313 N Main St
Wellsville, NY 14895-1016

Mailing address

356 N Main St
Wellsville, NY 14895-1039

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wwonderling226819@direct.urmc.rochester.edu Direct
Direct Messaging Address wwonderling226819@direct.urmc.rochester.edu Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001271 NY Practitioner - Physician Assistant 2264414325 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 275-5321

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0145

601 Elmwood Ave
Rochester, NY 14642-0001

601 Elmwood Ave Box
Rochester, NY 14642-0001
Phone (585) 275-5321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
64.11
Promoting interoperability
99
Improvement activities
40
Cost
78.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5775NYMDAddiction (Substance Use Disorder) Counselor
005775-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Mar 17, 2025 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Mar 1, 2025 Accepting new patients
Olean General Hospital Physician Assistant Current Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Apr 22, 2013 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Mar 1, 2025 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Mar 17, 2025 Accepting new patients
Allegheny Regional Bone and Joint Surgery PC Past Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

50 E South St
Geneseo, NY 14454
Phone (585) 243-5109

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

411 Canisteo St
Hornell, NY 14843
Phone (607) 324-8000

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

515 Main St
Olean, NY 14760
Phone (716) 373-2600

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

313 N Main St
Wellsville, NY 14895
Phone (585) 596-2053

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Organizations & group practices 8

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 2

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1356498604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951016",
            "telephone_number": "585-596-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDERLING",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "5775",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005775-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwonderling226819@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwonderling226819@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

Verify at the official NPI Registry.