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George Jory Wixsom, MD

Child & Adolescent Psychiatry Physician in Long Beach, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114094612

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Registry record

Entity type Individual (Type 1)
Name George Jory Wixsom
Credential MD
Sex Male
Practice address 20 W Park Ave, Suite 310b, Long Beach, NY, 11561
Phone (516) 978-1612
Fax (516) 374-2261
Enumeration date Nov 29, 2006
Last updated in NPPES Jun 28, 2013

Taxonomy & licenses

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License 224685-1 (NY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
02406628 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for George Wixsom?
The National Provider Identifier (NPI) for George Wixsom is 1114094612, a Type 1 (individual) record in the CMS NPPES registry.
Where does George Wixsom practice?
The practice location on file with NPPES is in Long Beach, NY. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-28.