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

Dr. Jonathan Matthew Willner, MD

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1376789636

Dr. Jonathan Matthew Willner, MD is a Cardiac Electrophysiology in Staten Island, New York. Graduated from New York University School of Medicine in 2006, 20 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
20
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2008
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

1110 S Ave Ste 305
Staten Island, NY 10314-3403
Phone: (718) 226-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 252136 (NY)

Record details

NPI number1376789636
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 16, 2008
Last updated in NPPESMarch 28, 2017
Mailing address475 Seaview Ave, Staten Island, NY 10305-3436

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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