DR. JOSE WILEY (NPI# 1366542284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366542284 |
| Entity Type | Individual |
| Full Name | DR. JOSE WILEY |
| Credential | MD |
| Practice Address |
143-05 Hillside Avenue Jamaica NY 11435 |
| Mailing Address |
1 Gustave L Levy Pl Box 1030 New York NY 10029-6500 |
| Practice Telephone | 7182970440 |
| Practice Fax Number | 7182970442 |
| Mailing Telephone | 2124271540 |
| Mailing Fax Number | 2124107196 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
250025 | NY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
10083 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03064582 | 05 | |
| ND | RAILROAD MEDICARE | P00259281 | 01 |
| Street Address |
143-05 HILLSIDE AVENUE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740693662 | Robbin Bura Moisa | Internal Medicine | 18465 Midland Pkwy, Jamaica, NY 11432-1527 | 2014-06-09 |
| 1174802516 | Vascular Imaging, PC | Internal Medicine | 162-15 Highland Ave, Apt 1a, Jamaica, NY 11432 | 2011-08-16 |
| 1730478264 | Vascular Imaging, Inc | Internal Medicine | 16215 Highland Ave Ste 1a, Jamaica, NY 11432-3459 | 2011-04-05 |
| 1730315177 | Mount Sinai School of Medicine | Internal Medicine | 143 - 05 Hillside Avenue, Jamaica, NY 11435 | 2009-05-29 |
| 1326207705 | Mount Sinai School of Medicine | Internal Medicine | 143 05 Hillside Avenue, Jamaica, NY 11435 | 2008-06-02 |
| 1548346406 | Joseph Colasacco | Internal Medicine | 134-20 Jamaica Avenue, Jamaica, NY 11418 | 2006-10-31 |
| 1467545509 | Citicardiaccare P.C. | Internal Medicine | 8002 165th St, Jamaica, NY 11432-1208 | 2006-10-02 |
| 1609984913 | Advanced Cardiac Medicine PC | Internal Medicine | 16215 Highland Avenue, Suite 1a, Jamaica, NY 11432 | 2006-08-27 |
| 1588621395 | Kenneth S Lerrick | Internal Medicine | 13916 91st Ave, Jamaica, NY 11435-4219 | 2006-04-26 |
| 1891758470 | Hobart C. Price | Internal Medicine | 11906 Guy R Brewer Blvd, Jamaica, NY 11434-2104 | 2006-04-06 |
| Find all providers in JAMAICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.