Individual provider Active NPI

Sarina Wasserman Gwirtzman, MA-CCC-SLP

  • Speech-Language Pathologist
  • Tuxedo Park, NY
National Provider Identifier
1790110203
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000626-1 Issued in NY
Practice address
39 Sterling Pines Rd
Tuxedo Park, NY 10987-5016
Phone
(845) 351-4335
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 000626-1 NY Primary

Addresses

Primary practice location

39 Sterling Pines Rd
Tuxedo Park, NY 10987-5016

Mailing address

PO Box 309
Southfields, NY 10975-0309
Phone (914) 715-9180

Other names 1

  • Ms. Sarina W. Berger Wasserman Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000626-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1790110203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "SOUTHFIELDS",
            "state": "NY",
            "postal_code": "109750309",
            "telephone_number": "914-715-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 STERLING PINES RD",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109875016",
            "telephone_number": "845-351-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIRTZMAN",
        "first_name": "SARINA",
        "middle_name": "WASSERMAN",
        "name_prefix": "Ms.",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000626-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARINA",
            "last_name": "WASSERMAN",
            "middle_name": "W. BERGER",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuxedo Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.