Jerome Wildes, M.D

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

081878 Issued in NY

Practice address

9116 158TH Ave
Howard Beach, NY 11414-3126

Phone

(718) 835-3454

Fax

(516) 239-3743

NPI assigned

Sep 7, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619961539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BROADWAY",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591502",
            "telephone_number": "516-371-6745",
            "fax_number": "516-239-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 158TH AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143126",
            "telephone_number": "718-835-3454",
            "fax_number": "516-239-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDES",
        "first_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "081878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ira Weissman, M.D.
• Kristin Welch
• Hsini S. Wen, OTR
• Mary Jo Wengler, MS SPECIAL ED
• West Hamilton Beach Volunteers Inc
• Iyana Wilmott
• Amber Wingfield
• Jean K Woo, RPA-C
• Rupal Ramkumar Yadav
• Avital Yagudaev, PA

• Allergy Physician in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Allergy Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.