Individual provider Active NPI

Eric M. Wassermann, M.D.

  • Neurology Physician
  • Bethesda, MD
National Provider Identifier
1801013818
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
57508 Issued in MA
Practice address
National Institutes of Health
10 Center Dr MSC 1440
Bethesda, MD 20892-1440
Phone
(301) 496-0151
Fax
(301) 480-2909
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 57508 MA Primary

Addresses

Primary practice location

National Institutes of Health
10 Center Dr MSC 1440
Bethesda, MD 20892-1440

Mailing address

National Institutes of Health
10 Center Dr MSC 1440
Bethesda, MD 20892-1440
Phone (301) 496-0151

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57508MAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801013818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NATIONAL INSTITUTES OF HEALTH",
            "address_2": "10 CENTER DR MSC 1440",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921440",
            "telephone_number": "301-496-0151",
            "fax_number": "301-480-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NATIONAL INSTITUTES OF HEALTH",
            "address_2": "10 CENTER DR MSC 1440",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921440",
            "telephone_number": "301-496-0151",
            "fax_number": "301-480-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMANN",
        "first_name": "ERIC",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "57508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.