Jason Aaron Waterman, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

231814 Issued in NY

Practice address

260 W Sunrise Hwy Ste 200
Valley Stream, NY 11581-1015

Phone

(516) 825-3600

Fax

(516) 823-2051

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

Interoperability endpoints

• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
• Direct secure messaging: jwaterman36945@direct.acpny.com

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.

• Advantagecare Physicians PC

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment NPD
• Advantagecare Physicians PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113
  NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1093784571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY STE 200",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811015",
            "telephone_number": "516-825-3600",
            "fax_number": "516-823-2051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Marcus Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110422057",
            "country_code": "US",
            "telephone_number": "516-354-1600",
            "fax_number": "516-941-4673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14015 Sanford Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552686",
            "country_code": "US",
            "telephone_number": "718-670-6400",
            "fax_number": "718-663-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180-05 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114324727",
            "country_code": "US",
            "telephone_number": "718-526-6300",
            "fax_number": "718-286-3863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Hawkins Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Ronkonkoma",
            "state": "NY",
            "postal_code": "117792324",
            "country_code": "US",
            "telephone_number": "631-471-0100",
            "fax_number": "631-471-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bayshore Road",
            "address_purpose": "LOCATION",
            "city": "North Babylon",
            "state": "NY",
            "postal_code": "117032823",
            "country_code": "US",
            "telephone_number": "631-586-2700",
            "fax_number": "631-491-8613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20620 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Cambria Heights",
            "state": "NY",
            "postal_code": "114111524",
            "country_code": "US",
            "telephone_number": "718-479-6600",
            "fax_number": "718-264-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "JASON",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "231814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02745242",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliot Warman, MD
• Laurel Warner
• Lori Beth Warner, LMSW
• William David Warner, DDS
• Tory Washington, LPN
• Amina Xiomara Watkins, M.D.
• Damien Lamont Watson
• Enid Watson, MSC IN EDUCATION
• Hakim Wayne
• Eudora Jasmine Waynes

• Pediatrics Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.