Active NPI
Kenneth B Wasser, M.D.
- Rheumatology Physician
- Tinton Falls, NJ
National Provider Identifier
1881670321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25MA03998000
- Practice address
- 43 N Gilbert St Ste 7
Tinton Falls, NJ 07701-4914 - Phone
- (732) 530-7999
- Fax
- (888) 972-9904
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25MA03998000 | NJ | Primary |
Addresses
Primary practice location
43 N Gilbert St Ste 7
Tinton Falls, NJ 07701-4914
Mailing address
43 N Gilbert St
Suite 7
Tinton Falls, NJ 07701-4913
Phone (732) 530-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1251104 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050727000085 | NJ | Practitioner - Rheumatology | 4284662784 | Practice locations: Tinton Falls, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1977
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
43 Gilbert St N
Suite 7
Tinton Falls, NJ 07701-4913
Phone (732) 530-7999
43 N Gilbert St
Suite 7
Tinton Falls, NJ 07701-4914
Hospital & facility affiliations
- Riverview Medical Center
- Ocean Medical Center
- Monmouth Medical Center
- Bayshore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03998000 | NJ | MD | Rheumatology Physician |
Interoperability endpoints
- kennethb.wasser@kennethbwassermd.directbygreenway.com
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1881670321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 N GILBERT ST",
"address_2": "SUITE 7",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014913",
"telephone_number": "732-530-7999",
"fax_number": "732-530-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 N GILBERT ST STE 7",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014914",
"telephone_number": "732-530-7999",
"fax_number": "888-972-9904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSER",
"first_name": "KENNETH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "25MA03998000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1251104",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.