NPIMap

Individual provider Active NPI

Ethan J Wasserman, MD

  • Medical Oncology Physician
  • Hamilton, NJ
National Provider Identifier
1811104292
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
25MA07824300 Issued in NJ
Practice address
2575 Klockner Road
The Cancer Institute of NJ Hamilton/Rwjuh-Hamilton
Hamilton, NJ 08690
Phone
(609) 631-6960
Fax
(609) 631-6888
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA78243 NJ
Medical Oncology Physician 207RX0202X 25MA07824300 NJ Primary

Addresses

Primary practice location

2575 Klockner Road
The Cancer Institute of NJ Hamilton/Rwjuh-Hamilton
Hamilton, NJ 08690

Mailing address

2575 Klockner Road
The Cancer Institute of NJ Hamilton/Rwjuh-Hamilton
Hamilton, NJ 08690
Phone (609) 631-6960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000197 NJ Practitioner - Hematology/Oncology 1153471743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (844) 346-7222

180 White Rd
Little Silver, NJ 07739-1166
Phone (609) 835-2900

218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

4632 Hwy 9
Howell, NJ 07731-3319
Phone (844) 346-7222

901 W Main St
Freehold, NJ 07728-2537
Phone (609) 835-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.5 of 100Reported as individual
Quality
80.19
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA78243NJMDHematology & Oncology Physician
25MA07824300NJMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Sep 26, 2012 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Sep 26, 2012 Accepting new patients
Robert Wood Johnson University Hospital at Hamilton Past Accepting new patients

Locations

25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

2575 Klockner Rd
Hamilton, NJ 08690
Phone (609) 584-2801

57 Kent Rd
Howell, NJ 07731
Phone (732) 364-1505

180 White Rd
Ste 106
Little Silver, NJ 07739
Phone (201) 510-0904

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

19 Davis Ave
Fl 2
Neptune City, NJ 07753
Phone (732) 528-0760

40 Bey Lea Rd
Ste A201
Toms River, NJ 08753
Phone (732) 367-1535

1540 State Route 138
Ste 202
Wall, NJ 07719
Phone (732) 477-0997

Interoperability endpoints

  • Direct secure messaging: ewasserman425543@direct.ahsys.org

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1811104292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 KLOCKNER ROAD",
            "address_2": "THE CANCER INSTITUTE OF NJ HAMILTON/RWJUH-HAMILTON",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-631-6960",
            "fax_number": "609-631-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 KLOCKNER ROAD",
            "address_2": "THE CANCER INSTITUTE OF NJ HAMILTON/RWJUH-HAMILTON",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-631-6960",
            "fax_number": "609-631-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "ETHAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA78243",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NJ",
            "license": "25MA07824300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.