Individual provider Active NPI

Allison Pauline Gurey Wasserstein, M.D.

  • Pediatrics Physician
  • Short Hills, NJ
National Provider Identifier
1740302249
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08297700 Issued in NJ
Practice address
85 Woodland Rd
Short Hills, NJ 07078-2449
Phone
(973) 379-2488
Fax
(973) 379-7659
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08297700 NJ Primary

Addresses

Primary practice location

85 Woodland Rd
Short Hills, NJ 07078-2449

Mailing address

51 West Dr
Livingston, NJ 07039-3523
Phone (973) 535-5892

Other names 1

  • Dr. Allison Pauline Gurey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000549 NJ Practitioner - Pediatric Medicine 1355478835 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08297700NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Feb 9, 2010 Accepting new patients
Summit Medical Group PA CurrentSince Feb 9, 2010 Accepting new patients
Summit Medical Group, Inc Pediatrics PastSince Jul 28, 2019 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

Interoperability endpoints

  • Direct secure messaging: allison.gureywasserstein.1@2983.direct.athenahealth.com

Organizations & group practices 3

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1740302249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WEST DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393523",
            "telephone_number": "973-535-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WOODLAND RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782449",
            "telephone_number": "973-379-2488",
            "fax_number": "973-379-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUREY WASSERSTEIN",
        "first_name": "ALLISON",
        "middle_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08297700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "GUREY",
            "middle_name": "PAULINE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Short Hills, NJ

Sources for this page

Verify at the official NPI Registry.