DR. GARY D WASSERMAN (NPI# 1518049832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518049832 |
| Entity Type | Individual |
| Full Name | DR. GARY D WASSERMAN |
| Credential | MD |
| Practice Address |
300 Grand Ave Suite 202 Englewood NJ 07631-4398 |
| Practice Telephone | 2018161900 |
| Practice Fax Number | 2018161777 |
| Mailing Telephone | 2018161900 |
| Mailing Fax Number | 2018161777 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 25MA05621000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | EMPIRE BCBS# (75 SOUTH DEAN) | 4S9831 | 01 |
| NJ | EMPIRE BCBS# (CLIFFSIDE PARK) | 4S9832 | 01 |
| NJ | EMPIRE BCBS# (180 N. DEAN) | 4S9833 | 01 |
| NJ | 4562801 | 05 | |
| NJ | OXFORD# | BS350 | 01 |
| NJ | AMERIGROUP# | 80988 | 01 |
| NJ | RAILROAD MEDICARE# | P00392865 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205876919 | Gary L. Wasserman | Optometrist | 13489 Walsingham Rd, Largo, FL 33774-3530 | 2006-06-08 |
| 1740382746 | Gary M Wasserman | Obstetrics & Gynecology | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2006-09-01 |
| 1104811595 | Gary A Wasserman | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-09-13 |
| Street Address |
300 GRAND AVE SUITE 202 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-4398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929635 | George Klafter | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-08-15 |
| 1376975649 | Mdstyle | Otolaryngology | 300 Grand Ave, Suite 104, Englewood, NJ 07631-4398 | 2013-08-08 |
| 1063858751 | Renal Center of Englewood, LLC | Clinic/Center | 300 Grand Ave, Ste 103, Englewood, NJ 07631-6300 | 2013-05-21 |
| 1588930663 | Englewood Dermatology Center | Preferred Provider Organization | 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398 | 2012-03-22 |
| 1326370172 | Chong Mu Lee | Acupuncturist | 300 Grand Ave, Suite 101, Englewood, NJ 07631-4398 | 2010-02-04 |
| 1346480738 | Rejuvenate Rehabilitation Center | Clinic/Center | 300 Grand Ave, Suite 101, Englewood, NJ 07631-4398 | 2009-02-25 |
| 1992901052 | Robert Bradley Simon | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2007-06-25 |
| 1144231515 | Monica Tadros | Specialist | 300 Grand Ave, Suite #104, Englewood, NJ 07631-4398 | 2006-08-11 |
| 1407846827 | Thomas Chun | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-10-26 |
| 1477555993 | Steven Katz | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134202435 | Rocky Mountain Lithotripter LLC | Urology | 3535 S Lafayette St Ste 220, Englewood, CO 80113-3972 | 2006-10-23 |
| 1154403418 | Urologic Specialties Pa | Urology | 177 North Dean St, Suite 305, Englewood, NJ 07631 | 2006-10-19 |
| 1790867026 | Raymond B Andronaco | Urology | 177 N Dean St # 305, Englewood, NJ 07631-2533 | 2006-10-19 |
| 1508812546 | Howard B Abromowitz | Urology | 9000 N Main St Ste 333, Englewood, OH 45415-1185 | 2006-05-25 |
| 1952394470 | Edward B Eigner | Urology | 799 E Hampden Ave, Suite 430, Englewood, CO 80113-2700 | 2005-08-30 |
| 1114929635 | George Klafter | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-08-15 |
| 1366069098 | Prm Urology of New Jersey PC | Urology | 106 Grand Ave Ste 435, Englewood, NJ 07631-3574 | 2020-06-29 |
| 1730575002 | Gulf Urology of Englewood | Urology | 2061 Englewood Rd, Suite 3, Englewood, FL 34223-1749 | 2015-04-13 |
| 1023374006 | Michael Thomas Davenport | Urology | 799 E Hampden Ave Ste 430, Englewood, CO 80113-2766 | 2012-04-04 |
| 1912177890 | Chester C Lee | Urology | 177 N Dean St, Englewood, NJ 07631-2533 | 2008-03-06 |
| Find all providers in ENGLEWOOD | ||||
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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.