Organization Active NPI

Jeffrey P. Wasserstrom MD PA

  • Ophthalmologic Surgery Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1568898641
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
JEFFREY P. WASSERSTROM MD PA
Practice address
2000 Palm Beack Lakes Blvd.
Suite 800
West Palm Beach, FL 33409
Phone
(561) 965-9110
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Dr. Jeffrey P Wasserstorm, M.D
Title
President
Phone
(909) 466-1457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

2000 Palm Beack Lakes Blvd.
Suite 800
West Palm Beach, FL 33409

Mailing address

3998 Inland Empire Blvd
Suite 100
Ontario, CA 91764-5032
Phone (909) 466-1457

National Provider Directory

National Provider Directory

Locations

3998 Inland Empire Blvd
Ste 100
Ontario, CA 91764
Phone (310) 922-2537

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1568898641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 INLAND EMPIRE BLVD",
            "address_2": "SUITE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645032",
            "telephone_number": "909-466-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACK LAKES BLVD.",
            "address_2": "SUITE 800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-965-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P. WASSERSTROM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "WASSERSTORM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-466-1457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.