Jeffrey Wanerman MD PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

164953 Issued in NY

Legal business name

JEFFREY WANERMAN MD PLLC

Practice address

301 E Main St
Bay Shore, NY 11706-8408

Phone

(631) 835-5367

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Wanerman, MD

Title

Owner

Phone

(631) 835-5367

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1740638345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 MAGNOLIA LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467710",
            "telephone_number": "631-835-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "631-835-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY WANERMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "WANERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-835-5367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "164953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "164953",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Emmanuel Jean-Lys, FNP
• Jeannine Jean-Philippe, R.N.
• Daphney Jean
• Luny Peggy Jean, COTA/L
• Valerie Jeanty
• Aaron S. Jenkins
• William Ronald Jennings, MD
• Jaclyn Jepson
• Margaret Jeran
• Roseline Jerome, M.D.

• Obstetrics & Gynecology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.