DR. JESSE V WASSNER


Address: 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100
Phone: 9738313540

DR. JESSE V WASSNER (NPI# 1154394906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154394906
Entity Type Individual
Full Name DR. JESSE V WASSNER
Credential MD
Practice Address 1 Cedar Crest Dr
Pompton Plains
NJ 07444-2100
Mailing Address 5525 Research Park Drive
4th Floor
Baltimore
MD 21228-4664
Practice Telephone 9738313540
Practice Fax Number 9738313503
Mailing Telephone 9738313540
Mailing Fax Number 9738313503
Enumeration Date 2006-02-10
Last Update Date 2015-05-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 52233 NJ Allopathic & Osteopathic Physicians
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
25MA05223300 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7022905 05
NJ 7726805 05
EVERCARE 04-74836 01
TRICARE 522114204001 01

Office Location

Street Address 1 CEDAR CREST DR
City POMPTON PLAINS
State NJ
Zip Code 07444-2100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013535830 Sarah M Wolosin Occupational Therapist 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2020-07-08
1023471505 Sarah Ruitenberg Physical Therapist 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2016-04-01
1578925186 Katelyn Milatz Occupational Therapist 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2016-03-23
1578925400 Etan Haziza Speech-Language Pathologist 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2016-03-21
1548672249 Chelsea Brower Family Medicine 1 Cedar Crest Dr, Pompton Plains, NJ 07444 2014-05-29
1417383985 Cedar Crest Clinic/Center 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2013-09-17
1083049753 Bonnie J Faresich Physical Therapist 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2013-09-12
1952686560 Mountain Top Dental Dentist 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2011-10-14
1760659379 Senior Campus Primary Care Physicians PC Family Medicine 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2008-05-13
1063695807 Frederick D Sunga Physical Therapist 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 2007-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407383144 Kaitlin Vanderhoff Social Worker 193 Mountain Avenue, Pompton Plains, NJ 07444 2017-05-12
1285026872 Mckeever Dental Care Dentist 933 Rt 23, Pompton Plains, NJ 07444 2015-02-19
1164609277 Mary Milbank Bodenstein Social Worker 640 Newark Pompton Turnpike, Pompton Plains, NJ 07444 2008-01-31
1548470115 Roger R. Hancox Counselor 142 Route 23 North, Pompton Plains, NJ 07444 2007-05-23
1215147772 Joanne Roach Stickles Counselor 933 Route 23 South, Suite 10, Pompton Plains, NJ 07444 2007-05-23
1366584583 Gleb Koslov Chiropractor 933 Route 23, Pequannock, NJ 07444 2007-02-13
1730245556 Ykr Orthopedics Specialist 901 State Route 23 South, Floor 2, Pompton Plains, NJ 07444 2006-12-28
1548328362 Violeta Trajkovska Optometrist 500 Rt 23 North, Pompton Plains, NJ 07444 2006-12-05
1245308097 L Michelle Borden Social Worker 21 Evans Place, Pompton Plains, NJ 07444 2006-12-01
1952487837 John Liaci Sr. Chiropractor 381 Route 23 South, Pompton Plains, NJ 07444 2006-10-31
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275798357 Cheryl Ann Ziemba Internal Medicine 1 Cedar Crest Village Dr, Pompton Plains, NJ 07444-2100 2008-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366983033 Liberty Med Associates LLC Internal Medicine 999 Palmer Ave Ste 1, Holmdel, NJ 07733 2017-03-15
1013369461 Pankaj Gupta Internal Medicine 31 Southfield Rd, Edison, NJ 08820-3141 2016-07-11
1780091736 Sukhwinder K. Hundle M.d., P.a. Internal Medicine 721 N Beers St Ste 1a, Holmdel, NJ 07733-1500 2014-07-22
1649602897 David M Lackner Internal Medicine 2107 Aqueduct Ln, Cherry Hill, NJ 08002-1932 2013-07-30
1841633369 Zahava Nilly Brodt Internal Medicine 125 Paterson St Ste 2300, New Brunswick, NJ 08901-1962 2013-04-15
1871866632 Anna H Zezon Internal Medicine 197 Cedar Ln Ste 2, Teaneck, NJ 07666-4300 2012-02-09
1760759740 Ashvini Health Services Internal Medicine 2271 State Highway 33 Ste 110, Hamilton, NJ 08690-1749 2011-11-19
1518241934 Hygiea Healthcare,llc Internal Medicine 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 2011-10-04
1578857066 Raymond Cogen Internal Medicine 72 Grange Ave, Fair Haven, NJ 07704-3004 2011-06-02
1871804534 Medical and Geratric Associate PC Internal Medicine 2239 Center Ave, Fort Lee, NJ 07024-6123 2010-06-28
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Competitor

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City POMPTON PLAINS
Zip Code 07444

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Dataset Information

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.

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