MARK WASSERMAN, MD (NPI# 1396824306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396824306 |
| Entity Type | Organization |
| Organization Name | MARK WASSERMAN, MD |
| Practice Address |
555 Route 25a Miller Place NY 11764-2625 |
| Practice Telephone | 6317446666 |
| Practice Fax Number | 6317440525 |
| Mailing Telephone | 6317446666 |
| Mailing Fax Number | 6317440525 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | MARK WASSERMAN (MD) |
| Authorized Official Telephone | 6317446666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 132521 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
555 ROUTE 25A |
| City | MILLER PLACE |
| State | NY |
| Zip Code | 11764-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033176805 | Mark David Wasserman | Family Medicine | 555 Route 25a, Miller Place, NY 11764-2625 | 2006-04-27 |
| 1285809277 | Kristina Zuzzolo | Physician Assistant | 555 Route 25a, Miller Place, NY 11764-2625 | 2008-04-29 |
| 1639202864 | Dennis Walter Goetz | Dentist | 555 Route 25a, Miller Place, NY 11764-2625 | 2007-03-14 |
| 1124178413 | Marc Benson Richling | Dentist | 555 Route 25a, Miller Place, NY 11764-2625 | 2007-01-11 |
| 1063562536 | Joseph Savorio D'agrosa | Dentist | 555 Route 25a, Miller Place, NY 11764-2625 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689151870 | Jjr Lifecare Inc | In Home Supportive Care | 85 Echo Ave., Suite 5, Miller Place, NY 11764 | 2018-07-20 |
| 1447782172 | Xuxin Zhang | Dentist | 555 Ny-25a, Miller Place, NY 11764 | 2017-03-31 |
| 1679972202 | Tara Daniels | Social Worker | 595-20 Route 25a, Suite 20, Miller Place, NY 11764 | 2014-08-20 |
| 1063858355 | Karen Ann Mcnulty | Specialist | 16 White Birch Circle, Miller Place, NY 11764 | 2013-05-14 |
| 1689918070 | Katja Mercado | Speech-Language Pathologist | 3 Honey Lane, Miller Place, NY 11764 | 2012-11-26 |
| 1447526967 | North Isle Chiropractic PC | Chiropractor | 93 Miller Place Rd., Miller Place, NY 11764 | 2012-03-29 |
| 1235404039 | Divine Chiropractic LLC | Chiropractor | 465 Route 25a, Suite 1, Miller Place, NY 11764 | 2012-03-13 |
| 1124338611 | Lisa Aitken | Social Worker | 15 Memorial Drive, Miller Place, NY 11764 | 2010-10-18 |
| 1659504876 | Janet Lynn Karp | Speech-Language Pathologist | 36 Samuels Path, Miller Place, NY 11764 | 2009-09-04 |
| 1356577589 | Marilee Somerville | Physical Therapist | 36 Sweetgum Ln, Miller Place, NY 11764 | 2009-06-02 |
| Find all providers in zip 11764 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831252964 | Mark Alan Koenig | Family Medicine | 765 Route 25a Ste 6, Miller Place, NY 11764-2649 | 2006-12-19 |
| 1114092061 | Joseph Michael Venezia | Family Medicine | 765 Route 25a, Miller Place, NY 11764-2649 | 2006-11-22 |
| 1033176805 | Mark David Wasserman | Family Medicine | 555 Route 25a, Miller Place, NY 11764-2625 | 2006-04-27 |
| 1477822757 | Ivy D Chung | Family Medicine | 765 Route 25a, Miller Place, NY 11764-2649 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | MILLER PLACE |
| Zip Code | 11764 |
Please comment or provide details below to improve the information on MARK WASSERMAN, MD.
| 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.