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

Dr. Jerry A Wider, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1447360615

Dr. Jerry A Wider, MD is an Obstetrics & Gynecology Physician in Smithtown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
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

48 Route 25A Ste 207
Smithtown, NY 11787-1431
Phone: (631) 862-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X · Licence 092304 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 092304 (NY)
Gynecology Physician Taxonomy 207VG0400X · Licence 092304 (NY)

Record details

NPI number1447360615
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address22 Waterville Rd, Whny Managed Care, Avon, CT 06001-2066

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