Vadim Vasserman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047919 Issued in NY

Practice address

1144 Pelham Pkwy S
#A
Bronx, NY 10461-1012

Phone

(718) 822-6896

Fax

(718) 597-8462

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497744544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611013",
            "telephone_number": "718-822-6896",
            "fax_number": "718-597-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 PELHAM PKWY S",
            "address_2": "#A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611012",
            "telephone_number": "718-822-6896",
            "fax_number": "718-597-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSERMAN",
        "first_name": "VADIM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02059103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela R. Vassel, MFT
• Jacqueline Audrey Vassell, PHARMD
• Taneca Maria Vassell, RN
• Terry A Vassell, CMHC-LP
• Holly Vassello
• Ishita Vasudev, MD
• Kambiz Vatandoost, DMD
• Vaibhav Vinod Vats, MD
• Akhil Deepak Vatvani, MD
• Anisa Karmella Symone Vaughan

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.