Active NPI
Jason Brian Wasserman, M.D.
- Otolaryngology Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 284195
- Practice address
- 3526 Francis Lewis Blvd
Flushing, NY 11358-1954 - Phone
- (718) 631-8899
- Fax
- (718) 631-4401
- NPI assigned
- Jun 6, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 284195-1 | NY | |
| Otolaryngology Physician | 207Y00000X | 284195 | NY | Primary |
Addresses
Primary practice location
3526 Francis Lewis Blvd
Flushing, NY 11358-1954
Mailing address
660 White Plains Rd FL 4
Tarrytown, NY 10591-5139
Phone (914) 984-2546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284195 | Other | NY | LICENSE # |
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 Compare- Specialty
- Otolaryngology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
163 -03 Horace Harding Expressway
3Rd Floor
Fresh Meadows, NY 11365-1449
Phone (718) 445-5100
3526 Francis Lewis Blvd
Flushing, NY 11358-1954
Phone (718) 631-8899
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 89.91
- 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 |
|---|---|---|---|
| 284195 | NY | MD | Otolaryngology Physician |
| 284195-1 | NY | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Otolaryngology | Current | Accepting new patients |
| ENT and Allergy Associates of Pennsylvania PLLC | Otolaryngology | Past | Accepting new patients |
Locations
3119 Newtown Ave
Ste 201
Astoria, NY 11102
Phone (718) 631-8899
3526 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 353-1571
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jason.wasserman@direct.entandallergy.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
-
- Allergy & Immunology Physician
- Willow Grove, PA
- NPI 1548098759
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1245524370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD FL 4",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915139",
"telephone_number": "914-984-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 FRANCIS LEWIS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581954",
"telephone_number": "718-631-8899",
"fax_number": "718-631-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "JASON",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NY",
"license": "284195-1",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "284195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "284195",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.