Individual provider Active NPI

Barry Wasser, LCSW

  • Mental Health Counselor
  • Jersey City, NJ
National Provider Identifier
1003198276
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05895200 Issued in NJ
Practice address
70 Van Reipen Ave
Jersey City, NJ 07306-2806
Phone
(201) 418-8601
NPI assigned
Sep 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 088762 NY
Mental Health Counselor 101YM0800X 44SC05895200 NJ Primary

Addresses

Primary practice location

70 Van Reipen Ave
Jersey City, NJ 07306-2806

Mailing address

70 Van Reipen Ave
Jersey City, NJ 07306-2806

Other practice location 1

1727 Amsterdam Ave
New York, NY 10031-4611
Phone (212) 694-9200 ext. 403

Other practice location 2

750 N Broad St Apt 7B
Elizabeth, NJ 07208-2426
Phone (973) 985-5496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05895200NJMDMental Health Counselor
088762NYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1003198276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 VAN REIPEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 VAN REIPEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062806",
            "telephone_number": "201-418-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100314611",
            "country_code": "US",
            "telephone_number": "212-694-9200 x403",
            "fax_number": "212-694-9230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 N Broad St Apt 7B",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072082426",
            "country_code": "US",
            "telephone_number": "973-985-5496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSER",
        "first_name": "BARRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "088762",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05895200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.