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MARK WASSERMAN, MD
NPI 1396824306
Family Medicine in Miller Place, NY

Active since November 02, 2006
555 ROUTE 25A, MILLER PLACE, NY 11764(631) 744-6666(631) 744-0525 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Wasserman, Md NPPES

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

MARK WASSERMAN, MD (NPI 1396824306) is a healthcare organization registered as a family medicine in Miller Place, New York and active in the NPI registry since November 2006. The organization lists Mark Wasserman, Md, as its authorized official.

NPPES Registry Identity

NPI1396824306
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARK WASSERMAN, MD
Location Address555 ROUTE 25AMiller Place, NY 11764-2625
Mailing Address555 Route 25aMiller Place, NY 11764-2625 · (631) 744-6666 · Fax (631) 744-0525
Phone(631) 744-6666
Fax(631) 744-0525
Organization SubpartNo
Authorized OfficialMark WassermanMd · (631) 744-6666
Enumeration DateNovember 2, 2006
Last NPPES UpdateDecember 31, 2007
✔ NPI 1396824306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 132521
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
555 ROUTE 25A, Miller Place, NY 11764
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. MARK DAVID WASSERMAN MD
Family Medicine
555 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 744-6666
DR. JOSEPH SAVORIO D'AGROSA D.D.S.
Dentist
555 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 744-0202
DR. MARC BENSON RICHLING D.D.S.
Dentist (General Practice)
555 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 744-0202
KRISTINA ZUZZOLO PHYSICIAN ASSISTANT
Physician Assistant (Medical)
555 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 744-6666
DR. DENNIS WALTER GOETZ D.D.S.
Dentist
555 ROUTE 25A
MILLER PLACE, NY 11764
Suffolk County (631) 744-0202

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 Mark Wasserman, MD's NPI number?

The NPI number for Mark Wasserman, MD is 1396824306. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Mark Wasserman, MD located?

Mark Wasserman, MD is located at 555 Route 25A, Miller Place, NY 11764. The listed phone number is (631) 744-6666.

What is Mark Wasserman, MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Wasserman, MD was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.