Individual provider Active NPI

Stuart Wasser, MD

  • Internal Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1922099852
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
173354 Issued in NY
Practice address
176 N. Village Avenue
Suite 2E
Rockville Centre, NY 11570
Phone
(516) 594-2514
Fax
(516) 208-5510
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 173354 NY
Internal Medicine Physician 207R00000X 173354 NY Primary

Addresses

Primary practice location

176 N. Village Avenue
Suite 2E
Rockville Centre, NY 11570

Mailing address

176 N Village Ave Ste 2E
Rockville Centre, NY 11570-3800
Phone (516) 594-2514

Other practice location 1

2250 Grand Ave
Baldwin, NY 11510-3109
Phone (516) 200-1669

Other identifiers 1

IdentifierTypeStateIssuer
01624193MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040320000338 NY Practitioner - Internal MedicinePractitioner - Addiction Medicine 6002707155 Reassigns benefits to 3 organizations
Practice locations: Rockville Centre, NY; West Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
New York University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Service of Edny IncGroup PAC ID 3971733320, 6 clinicians
Integrity Treatment Partners LLCGroup PAC ID 6800314741, 2 clinicians

Practice addresses (Care Compare)

175 Fulton Ave
Suite 300
Hempstead, NY 11550-3702
Phone (516) 481-0052

2250 Grand Ave
Baldwin, NY 11510-3109
Phone (516) 200-1669

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
173354NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Argus Community, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Friends of Bridge Inc Past Accepting new patients
Keri Mica LCSW PC PastSince Oct 12, 2025 Accepting new patients
Dr Robert N Prichep Physician PC Past Accepting new patients

Locations

760 E 160th St
Bronx, NY 10456
Phone (347) 503-5527

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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 2

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1922099852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 N VILLAGE AVE STE 2E",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703800",
            "telephone_number": "516-594-2514",
            "fax_number": "516-208-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 N. VILLAGE AVENUE",
            "address_2": "SUITE 2E",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-594-2514",
            "fax_number": "516-208-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "NY",
            "postal_code": "115103109",
            "country_code": "US",
            "telephone_number": "516-200-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSER",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "173354",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "173354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624193",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.