Elen Wasserman, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB09807100 Issued in NJ

Practice address

556 Passaic Ave
West Caldwell, NJ 07006-7449

Phone

(973) 808-2273

Fax

(973) 808-2267

NPI assigned

Mar 15, 2013

Last updated

Oct 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Doctors Office of BrickGroup PAC ID 1254575061, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctors Office of Brick

  • Urgent Care Clinic/Center
  • Brick, NJ
  • NPI 1184067944
  Medicare reassignment Care Compare group NPD
• Expert Care Providers of New Jersey LLC

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1063222727
  Medicare reassignment NPD Authorized official
• Doctor's Office of West Caldwell LLC

  • Urgent Care Clinic/Center
  • West Caldwell, NJ
  • NPI 1144524786
  Medicare reassignment NPD
• Doctors Office of New Jersey, LLC

  • Urgent Care Clinic/Center
  • Midland Park, NJ
  • NPI 1508264177
  Medicare reassignment NPD
• Excel Urgent Care of NJ LLC

  • Urgent Care Clinic/Center
  • Old Bridge, NJ
  • NPI 1255742243
  Medicare reassignment NPD
• Excel Urgent Care of Paramus LLC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1063652220
  Medicare reassignment NPD
• New Jersey Infusion PA

  • Multi-Specialty Clinic/Center
  • Freehold, NJ
  • NPI 1063241644
  Medicare reassignment NPD
• Union County Health Care Associates LLC

  • Internal Medicine Physician
  • Garwood, NJ
  • NPI 1033271291
  Medicare reassignment NPD
• Invision Eye Care Inc.

  • Optometrist
  • Livingston, NJ
  • NPI 1356401889
  NPD
• Elizabeth Medical Group PA

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1225105224
  NPD (past)
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1437490463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RAYMOND AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701132",
            "telephone_number": "646-752-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 PASSAIC AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067449",
            "telephone_number": "973-808-2273",
            "fax_number": "973-808-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "ELEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09807100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Rehabilitation & Fitness Center Inc (Universal Institute Inc)
• Gary J Vitale, DMD
• Olga M Vysata, M.D.
• Zachary McKenna Walch, PT, DPT
• Walgreen Eastern Co, Inc (Walgreens #07794)
• Madison Emma Watson, M.S. CCC-SLP
• Rebecca Weintraub
• Amelia Weiss
• Welcome Home Healing LCSW LLC
• Paul Wenzel

• Internal Medicine Physician in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.

Verify at the official NPI Registry.