Organization Active NPI

Wasserman Chiropractic of Palm Beach, LLC

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1508360355
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11277 Issued in FL
Legal business name
WASSERMAN CHIROPRACTIC OF PALM BEACH, LLC
Practice address
2151 S Highway A1A Alt Ste 600
Jupiter, FL 33477-4064
Phone
(561) 747-5234
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Dr. Andrew Wasserman, DCNPI 1851569610
Title
Owner
Phone
(954) 242-4075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11277 FL Primary

Addresses

Primary practice location

2151 S Highway A1A Alt Ste 600
Jupiter, FL 33477-4064

Mailing address

1731 S Palmway
Lake Worth, FL 33460-5843
Phone (954) 242-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190306001640 FL Part B Supplier - Clinic/Group Practice 1850630062 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

2151 S Highway A1A Alt
Ste 600
Jupiter, FL 33477
Phone (415) 746-0746

4215 Burns Rd
Ste 250
Palm Beach Gardens, FL 33410
Phone (561) 747-5234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1508360355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 S PALMWAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605843",
            "telephone_number": "954-242-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S HIGHWAY A1A ALT STE 600",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774064",
            "telephone_number": "561-747-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASSERMAN CHIROPRACTIC OF PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-242-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.