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

Dr. Jonathan Wahl, MD

Individual provider General Practice Physician · NPI 1821155755

Dr. Jonathan Wahl, MD is a General Practice Physician in Jericho, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

471 N Broadway Ste 278
Jericho, NY 11753-2106
Phone: (516) 695-6340
Fax: (718) 368-0400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 232419 (NY)

Record details

NPI number1821155755
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESNovember 3, 2009
Mailing address471 N Broadway, Suite 278, Jericho, NY 11753-2106

Other providers in Jericho