Individual provider Active NPI

Samuel Wasser, M.D.

  • Surgery Physician
  • Moorestown, NJ
National Provider Identifier
1457352791
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA04608800 Issued in NJ
Practice address
401 Young Ave Ste 320
Moorestown, NJ 08057-3133
Phone
(856) 291-8920
Fax
(856) 291-8922
NPI assigned
Aug 9, 2005
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA04608800 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 320
Moorestown, NJ 08057-3133

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 291-8920

Other practice location 1

1000 Salem Rd
Suite A
Willingboro, NJ 08046-2852
Phone (609) 877-1737

Other practice location 2

120 White Horse Pike Ste 103C
Haddon Hgts, NJ 08035-1938
Phone (856) 546-3900

Other identifiers 1

IdentifierTypeStateIssuer
1282603MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address swasser13633@directvirtua.org
Direct Messaging Address swasser13633@directvirtua.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040423001005 NJ Practitioner - General Surgery 9931195914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
George Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

120 White Horse Pike
Haddon Heights, NJ 08035-1938

175 Madison Ave
Mount Holly, NJ 08060-2038

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Sep 1, 2011 Accepting new patients
Virtua Medical Group, PA Surgery CurrentSince Sep 1, 2011 Accepting new patients
Surgical Specialists of New Jersey, LLC Surgery Past Accepting new patients
Louis S Ruvolo M D LLC Surgery Past Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc. Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1 Brace Rd
Ste B
Cherry Hill, NJ 08034
Phone (856) 470-9029

120 White Horse Pike
Ste 103C
Haddon Hgts, NJ 08035
Phone (856) 546-3900

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 320
Moorestown, NJ 08057
Phone (856) 291-8920

130 Carnie Blvd
Ste 3
Voorhees, NJ 08043
Phone (856) 596-7440

Interoperability endpoints

  • Direct secure messaging: swasser13633@directvirtua.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1457352791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-291-8920",
            "fax_number": "856-291-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 320",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573133",
            "telephone_number": "856-291-8920",
            "fax_number": "856-291-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Salem Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080462852",
            "country_code": "US",
            "telephone_number": "609-877-1737",
            "fax_number": "609-877-1589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 White Horse Pike Ste 103C",
            "address_purpose": "LOCATION",
            "city": "Haddon Hgts",
            "state": "NJ",
            "postal_code": "080351938",
            "country_code": "US",
            "telephone_number": "856-546-3900",
            "fax_number": "856-546-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSER",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04608800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1282603",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swasser13633@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 320",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swasser13633@directvirtua.org",
            "affiliation": "N",
            "address_1": "120 White Horse Pike Ste 103C",
            "city": "Haddon Hgts",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080351938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.