Lewis Wasserman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME53446 Issued in FL

Practice address

844 N Thornton Ave
Orlando, FL 32803-4003

Phone

(407) 398-6470

NPI assigned

Jan 20, 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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Apopka, FL
  • NPI 1063172021
  NPD (past)
• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Apopka, FL
  • NPI 1407974579
  NPD (past)
• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1609536671
  NPD (past)
• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Port St Lucie, FL
  • NPI 1699435669
  NPD (past)
• Night Lite Pediatric Center, LLC

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1780344754
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1700866035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 CENTURY OAK DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614026",
            "telephone_number": "407-247-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N THORNTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034003",
            "telephone_number": "407-398-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME53446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "202855",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "07509",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4008151",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063328300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "222125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taleasha Lintayvia Washington
• Tekeisha Washington, BSN, RN
• Brenda Marcella Waskiewicz
• Andrea Dawn Wassel
• Wasserman Pediatrics, P.a.
• Sharon M Wasserstrom, MD
• Christopher William Wasyliw, MD
• Pankaj Watal, M.D.
• Water'S Edge Dermatology
• Waterbridge Dental Group, P.a

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

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