DR. JASON BRIAN WASSERMAN (NPI# 1245524370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245524370 |
| Entity Type | Individual |
| Full Name | DR. JASON BRIAN WASSERMAN |
| Credential | M.D. |
| Practice Address |
210 - 33 26th Ave Ground Level Bayside NY 11360-1949 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 7186318835 |
| Practice Fax Number | 7186314401 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
284195-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE # | 284195 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760560411 | Jason H Wasserman | Dentist | 125 Lincoln Ave, Floor 1, Carteret, NJ 07008-2738 | 2006-11-01 |
| Street Address |
210 - 33 26TH AVE GROUND LEVEL |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841591765 | Jack Martin Shapiro | Otolaryngology | 147 Bacon Rd, Old Westbury, NY 11568 | 2010-11-09 |
| 1831341643 | Krishnakumar Thankappan | Otolaryngology | Dept of Head and Neck Roswell Park Cancer, Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2008-10-13 |
| 1235292855 | George J Braun | Otolaryngology | 38 E 38th St, New York, NY 10016-2505 | 2006-12-18 |
| 1811942220 | Oleh Slupchynskyj | Otolaryngology | 44 E 65th St, 1a, New York, NY 10021-7022 | 2006-05-23 |
| 1346629110 | Steven Andrew Gordon | Otolaryngology | 550 First Ave, Nyu Langone Medical Center, New York, NY 10016 | 2015-05-26 |
| 1043698608 | Nyc Metro Ent PC | Otolaryngology | 6273 Woodhaven Blvd, Rego Park, NY 11374-2832 | 2015-05-14 |
| 1396163747 | Ashley Paige O'connell Ferster | Otolaryngology | 2365 S Clinton Ave Ste 200, Rochester, NY 14618-2663 | 2014-04-02 |
| 1275824856 | Eric William Cerrati | Otolaryngology | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2011-04-29 |
| 1184858458 | Paul Raymond Young | Otolaryngology | 4955 N Bailey Ave, Suite 202, Amherst, NY 14226-1206 | 2009-05-14 |
| 1982872297 | William J. Belles Md PC | Otolaryngology | 2545 Sheridan Dr, Tonawanda, NY 14150-9478 | 2008-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JASON BRIAN WASSERMAN.
| 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.