KATHERINE WASSERMAN FNP-C
NPI 1063192755
Nurse Practitioner - Family in Newark, NJ

Active since July 19, 2023PECOS Enrolled
ONE GATEWAY CENTER, SUITE 2600, NEWARK, NJ 07102(617) 505-1520(617) 928-8401 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Sep 16, 2025, Jun 20, 2024 and 2 more (5 updates tracked since 2023).

About Katherine Wasserman Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE WASSERMAN FNP-C (NPI 1063192755) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ14879500) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063192755
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE WASSERMANCredential: FNP-C
Location AddressONE GATEWAY CENTER, SUITE 2600Newark, NJ 07102-5323
Mailing Address109 State Street, 5th FlBoston, MA 02109-2906 · (617) 505-1520 · Fax (617) 928-8401
Fax(617) 928-8401
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 19, 2023
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
NPI 1063192755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ14879500
ONE GATEWAY CENTER, Newark, NJ 07102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katherine Wasserman Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446729834
PECOS Enrollment IDI20260514003441
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
ONE GATEWAY CENTER, SUITE 2600
NEWARK, NJ 07102
Home Health Aide
ONE GATEWAY CENTER, SUITE 2600
NEWARK, NJ 07102
Home Health Aide
ONE GATEWAY CENTER, SUITE 2600
NEWARK, NJ 07102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Wasserman's NPI number?

The NPI number for Katherine Wasserman is 1063192755. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Katherine Wasserman located?

Katherine Wasserman practices at One Gateway Center Suite 2600, Newark, NJ 07102. The listed phone number is (617) 505-1520.

What is Katherine Wasserman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine Wasserman enrolled in Medicare?

Yes. Katherine Wasserman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Wasserman was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.