Jerry A Wider, M.D.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

092304 Issued in NY

Practice address

48 Route 25a
Suite 207
Smithtown, NY 11787-1431

Phone

(631) 862-3800

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1447360615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WATERVILLE RD",
            "address_2": "WHNY MANAGED CARE",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012066",
            "telephone_number": "860-676-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 207",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-862-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDER",
        "first_name": "JERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "092304",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "092304",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "092304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine White, RN
• Patricia T White, LCSW-R
• Erica Jean Whitehurst, LCSW
• Barbara Denise Whiteside, PH.D.
• Krista Renee' Whitman, LMSW
• David S. Wiener, D.D.S.
• Gretchen B. Wiener, M.O.T., O.T.R./L
• Robert Stephen Wilder, DC
• Allen M. Williams, M.D.
• Carrie Jean Williams

• Obstetrics Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Obstetrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.