Peter Todd Wasserman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048903-1 Issued in NY

Practice address

6011 Riverdale Ave
Bronx, NY 10471-1615

Phone

(718) 548-6900

Fax

(718) 548-2700

NPI assigned

Sep 29, 2006

Sex

Male

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 NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1588756126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711615",
            "telephone_number": "718-548-6900",
            "fax_number": "718-548-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711615",
            "telephone_number": "718-548-6900",
            "fax_number": "718-548-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "PETER",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048903-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Wassef, NP
• Emily Wasserberg Wasserberg, LCSW
• Ester Rose Wasserman, CPNP-PC
• Jerrold Wasserman, DDS
• Paula B. Wasserman, LMSW
• Talya Wasserman, PA-C
• Jesse V Wassner, MD
• Marc Alan Wastell, R.PH.,M.S.D.C.
• Monica Wat, MD
• Melanie Watanabe, MD

• 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 Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.