Steven Jay Wasserman MD PL

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME36514 Issued in FL

Legal business name

STEVEN JAY WASSERMAN MD PL

Practice address

1111 Avenida del Circo
Venice, FL 34285-4108

Phone

(941) 484-8222

Fax

(941) 486-0316

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Jay Wasserman, MD

Title

President

Phone

(941) 484-8222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1346467784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 AVENIDA DEL CIRCO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854108",
            "telephone_number": "941-484-8222",
            "fax_number": "941-486-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AVENIDA DEL CIRCO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854108",
            "telephone_number": "941-484-8222",
            "fax_number": "941-486-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN JAY WASSERMAN MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-484-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME36514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Venice, FL
• Providers in Venice, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.