Active NPI
Melissa Pittel Wasserstein, MD
- Clinical Biochemical Genetics Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Biochemical Genetics Physician
- License
- 194048
- Practice address
- 1 Gustave L Levy PL
Box 1497
New York, NY 10029-6500 - Phone
- (212) 241-2478
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 194048 | NY | |
| Clinical Biochemical Genetics Physician | 207SG0202X | 194048 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
Box 1497
New York, NY 10029-6500
Mailing address
79 Ferdon Ave
Sparkill, NY 10976-1301
Phone (845) 365-9767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1858704 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219048 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
1428 Madison Ave
New York, NY 10029
Phone (212) 241-6947
1184 5th Ave
#2
New York, NY 10029
Phone (212) 241-3055
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1760227466
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Specialty Pharmacy
- New York, NY
- NPI 1629410816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1023066198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 FERDON AVE",
"city": "SPARKILL",
"state": "NY",
"postal_code": "109761301",
"telephone_number": "845-365-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "BOX 1497",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "212-241-2478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERSTEIN",
"first_name": "MELISSA",
"middle_name": "PITTEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NY",
"license": "194048",
"primary": false
},
{
"code": "207SG0202X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Biochemical Genetics",
"state": "NY",
"license": "194048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1858704",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.