Individual provider Active NPI

Marc Wasserman, PH.D, L.AC.

  • Acupuncturist
  • Hunt Valley, MD
National Provider Identifier
1699166603
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02147 Issued in MD
Practice address
5 Shawan Rd
Suite 101-E
Hunt Valley, MD 21030-1373
Phone
(410) 709-8188
NPI assigned
Feb 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02147 MD Primary

Addresses

Primary practice location

5 Shawan Rd
Suite 101-E
Hunt Valley, MD 21030-1373

Mailing address

5 Shawan Rd
Suite 101-E
Hunt Valley, MD 21030-1373
Phone (410) 709-8188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flow Health Clinic, LLC Acupuncturist CurrentSince Apr 6, 2021 Accepting new patients

Locations

5 Shawan Rd
Ste 101E
Hunt Valley, MD 21030
Phone (410) 709-8188

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1699166603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHAWAN RD",
            "address_2": "SUITE 101-E",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301373",
            "telephone_number": "410-709-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHAWAN RD",
            "address_2": "SUITE 101-E",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301373",
            "telephone_number": "410-709-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "MARC",
        "credential": "PH.D, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.