KRISTA LYNN WASSERMAN (NPI# 1063806552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063806552 |
| Entity Type | Individual |
| Full Name | KRISTA LYNN WASSERMAN |
| Other Name | KRISTA LYNN NEAL |
| Credential | MD |
| Practice Address |
40 Crossways Park Dr Ste 101 Woodbury NY 11797-2038 |
| Mailing Address |
900 Merchants Concourse Ste 216 Westbury NY 11590-5114 |
| Practice Telephone | 5164963900 |
| Mailing Telephone | 5162268373 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 299420 | NY | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
299420 | NY | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
299420 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1615 Northern Blvd Ste 106, Manhasset, NY 110303033 | 5164828741 |
| Street Address |
40 CROSSWAYS PARK DR STE 101 |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336161561 | Cindy Tobin | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-07-24 |
| 1649634676 | Tatyana Zubkina | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2016-04-06 |
| 1205267275 | Mary T. Hickey | Nurse Practitioner | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797 | 2013-12-02 |
| 1861737280 | Lisa Tepfer | Nurse Practitioner | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2012-12-11 |
| 1740417633 | Helen H Park | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2009-06-17 |
| 1629105713 | Terah J Stiell | Physician Assistant | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2007-02-27 |
| 1619053535 | Yulia Aronovich | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-10-31 |
| 1518043173 | Henry Kurt Prince | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-10-27 |
| 1831275494 | Jeanine Morris-rush | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-10-27 |
| 1871501775 | Melissa Oppenheim | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356640031 | Emily Nicole Bernice Myer | Obstetrics & Gynecology | 1687 Woodlane Dr Ste 101, Woodbury, MN 55125-3046 | 2011-03-21 |
| 1063668937 | Allina Health System | Obstetrics & Gynecology | 1625 Radio Dr Ste 250, Woodbury, MN 55125-9477 | 2008-08-12 |
| 1053321745 | Melvin Ashford | Obstetrics & Gynecology | 10731 Hawthorn Trl, Woodbury, MN 55129-8767 | 2006-08-08 |
| 1003821877 | Adefris & Toppin Women's Specialists,mdpc | Obstetrics & Gynecology | 215 Radio Drive, Suite 200, Woodbury, MN 55125-2298 | 2006-07-30 |
| 1336161561 | Cindy Tobin | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2006-07-24 |
| 1891760823 | Kristen R Nelson | Obstetrics & Gynecology | 1875 Woodwinds Dr Ste 110, Woodbury, MN 55125-2501 | 2006-02-22 |
| 1356327688 | Barbara C. Toppin | Obstetrics & Gynecology | 1875 Woodwinds Drive, Suite 110, Woodbury, MN 55125 | 2005-12-19 |
| 1649634676 | Tatyana Zubkina | Obstetrics & Gynecology | 40 Crossways Park Dr Ste 101, Woodbury, NY 11797-2038 | 2016-04-06 |
| 1871987230 | Elizabeth George | Obstetrics & Gynecology | 215 Radio Drive, Suite 200, Woodbury, MN 55125-2501 | 2015-03-24 |
| 1164834826 | Katie Corcoran | Obstetrics & Gynecology | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2014-05-28 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.