Jeanne Marie Wilson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

205791 Issued in NY

Practice address

19 Bradhurst Ave.,
Children's & Women's Physicians of Westchester
Hawthorne, NY 10532

Phone

(914) 593-8850

Fax

(914) 593-8833

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jeanne.wilson.p1@direct.cwpw.nextgenshare.com

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.

• Boston Children's Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment NPD
• Boston Childrens Health Physicians LLP

  dba Boston Childrens Health Physicians Pediatric Endocrinology Division

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1740257252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE.,",
            "address_2": "CHILDREN'S & WOMEN'S PHYSICIANS OF WESTCHESTER",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-593-8850",
            "fax_number": "914-593-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE.,",
            "address_2": "CHILDREN'S & WOMEN'S PHYSICIANS OF WESTCHESTER",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-593-8850",
            "fax_number": "914-593-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "205791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01850068",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desmond White, M.D.
• Joyce White
• Maria Whitmire, LMSW
• Lynn Wiebe, MSPT
• Eulalee E Williams, REGISTERED NURSE
• Karen Ann-Marie Wilson, NURSE PRACTITIONER
• Wims, LLC
• John M Winget, P.T.
• Diane M. Wisner-Magee, M.S.
• Kim M Wisniewski, ATR-BC

• Pediatrics Physician in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.