Norman Henry Wasserman, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME0019332 Issued in FL

Practice address

850 Ives Dairy Rd
Unit 14
North Miami Beach, FL 33179-2450

Phone

(305) 405-0365

Fax

(305) 405-0370

NPI assigned

Sep 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Club Diagnostics Center, LLC.

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1851400931
  NPD (past)
• California Club Medical Center LLC

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1538106919
  NPD (past)
• Qualcare Medical Centers LLC

  dba California Club Medical Center

  • Family Medicine Physician
  • Miami, FL
  • NPI 1770872566
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063514644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 IVES DAIRY RD",
            "address_2": "UNIT 14",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792450",
            "telephone_number": "305-405-0365",
            "fax_number": "305-405-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IVES DAIRY RD",
            "address_2": "UNIT 14",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792450",
            "telephone_number": "305-405-0365",
            "fax_number": "305-405-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "NORMAN",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0019332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-3235)
• Wal-Mart Stores East, LP (Vision Center 30-3235)
• Walgreen Co (Walgreens #02719)
• Walgreen Co (Walgreens #03678)
• Dawn M Warmbrand
• Watercrest Acquisition I LLC
• Barry Howard Waterman, D.M.D.
• Catherine Watson, AU.D.
• Wayne N Evancho DO PA
• Wayne R. Porter M.D. P.a.

• Allergy & Immunology Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.