Active NPI
Jonathan David Wassermann, D.C.
- Chiropractor
- Lansdale, PA
National Provider Identifier
1891792701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- PA005166-L
- Practice address
- 601 E Main St
Lansdale, PA 19446-2947 - Phone
- (215) 368-4222
- Fax
- (215) 368-8321
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | PA005166-L | PA | Primary |
Addresses
Primary practice location
601 E Main St
Lansdale, PA 19446-2947
Mailing address
PO Box 711
Lansdale, PA 19446-0901
Phone (215) 368-4222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080715000097 | PA | Practitioner - Chiropractic | 2365515020 | Practice locations: Lansdale, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
601 E Main St
Lansdale, PA 19446-2947
Phone (215) 368-4222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA005166-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Family Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Lansdale, PA
- NPI 1124243340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1891792701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194460901",
"telephone_number": "215-368-4222",
"fax_number": "215-368-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E MAIN ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462947",
"telephone_number": "215-368-4222",
"fax_number": "215-368-8321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMANN",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "PA005166-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.