NPIMap

Organization Active NPI

Jason Wasserman, D.M.D.,P.a.

  • Dentist
  • Carteret, NJ
National Provider Identifier
1154405181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02229500 Issued in NJ
Legal business name
JASON WASSERMAN, D.M.D.,P.A.
Practice address
125 Lincoln Ave
Floor 1
Carteret, NJ 07008-2738
Phone
(732) 541-5454
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jason H Wasserman, DMDNPI 1760560411
Title
President/Owner
Phone
(732) 541-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22DI02229500 NJ Primary

Addresses

Primary practice location

125 Lincoln Ave
Floor 1
Carteret, NJ 07008-2738

Mailing address

125 Lincoln Ave
Floor 1
Carteret, NJ 07008-2738
Phone (732) 541-5454

Other names 1

  • Lincoln Family Dental Other name

National Provider Directory

National Provider Directory

Locations

125 Lincoln Ave
#1
Carteret, NJ 07008
Phone (732) 541-5454

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154405181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LINCOLN AVE",
            "address_2": "FLOOR 1",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082738",
            "telephone_number": "732-541-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LINCOLN AVE",
            "address_2": "FLOOR 1",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082738",
            "telephone_number": "732-541-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON WASSERMAN, D.M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "732-541-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02229500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carteret, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.