Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer M Wiley, MD

Individual provider Family Medicine Physician · NPI 1205837515

Dr. Jennifer M Wiley, MD is a Family Practice in Troy, New York. Qualified in 1991, 35 years ago. Practices with Community Care Physicians PLLC, a 364-clinician group. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Jordan Rd Ste 104
Troy, NY 12180-8309
Phone: (518) 274-0024
Fax: (518) 274-9487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 196142 (NY)

Record details

NPI number1205837515
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJanuary 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Community Care Physicians Pllc — 364 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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