Individual provider Active NPI

Sharon Helene Wasserstein, MSCCCSLP

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1255649125
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0034701 Issued in NY
Practice address
54 Sunrise Ter
Staten Island, NY 10304-2170
Phone
(718) 816-5179
NPI assigned
Sep 14, 2010
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0034701 NY Primary

Addresses

Primary practice location

54 Sunrise Ter
Staten Island, NY 10304-2170

Mailing address

54 Sunrise Ter
Staten Island, NY 10304-2170
Phone (718) 816-5179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0034701NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1255649125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUNRISE TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042170",
            "telephone_number": "718-816-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNRISE TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042170",
            "telephone_number": "718-816-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERSTEIN",
        "first_name": "SHARON",
        "middle_name": "HELENE",
        "credential": "MSCCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0034701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.