Justin Ross Wasserman, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME106806 Issued in FL

Practice address

409 Serano Way Unit 101
Nokomis, FL 34275-5241

Phone

(941) 484-8222

Fax

(941) 486-3016

NPI assigned

Apr 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Florida College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.35 of 100Reported as individual

Quality

76.7

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwasserman@directaddress.net

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.

• Justin Ross Wasserman MD PL

  • Clinic/Center
  • Nokomis, FL
  • NPI 1891098612
  Medicare reassignment NPD Authorized official
• Olga Ulitsky MD PL

  • Clinic/Center
  • Venice, FL
  • NPI 1144525676
  NPD

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1043453970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SERANO WAY UNIT 101",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755241",
            "telephone_number": "941-484-8222",
            "fax_number": "941-486-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SERANO WAY UNIT 101",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755241",
            "telephone_number": "941-484-8222",
            "fax_number": "941-486-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Avenida Del Circo",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342854108",
            "country_code": "US",
            "telephone_number": "941-484-8222",
            "fax_number": "941-486-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "JUSTIN",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME106806",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME106806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Pharmacy of Nokomis LLC (Village Pharmacy)
• VMD Primary Providers Central Florida PLLC
• Ember Lee Charlotte Wackelin
• Walgreen Co (Walgreens #11787)
• Anthony Warner, RCSWI
• Wellness U, LLC (Hope 80/20)
• West Coast Wellness and Family Medicine PA
• Jennifer White
• Virginia Meredith Williams, MPT
• Brooke Wilson

• Dermatology Physician in Nokomis, FL
• Providers in Nokomis, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.

Verify at the official NPI Registry.