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BRADLEY WASSERMAN, M.D., PLLC
NPI 1851711410
Orthopaedic Surgery - Sports Medicine in New York, NY

Active since April 22, 2014
630 1ST AVE, APT 20G, NEW YORK, NY 10016(718) 966-6869(718) 989-6995 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Wasserman, M.d., Pllc NPPES

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

BRADLEY WASSERMAN, M.D., PLLC (NPI 1851711410) is a healthcare organization registered as a sports medicine in New York, New York and active in the NPI registry since April 2014. The organization lists Bradley R Wasserman, Physican, as its authorized official.

NPPES Registry Identity

NPI1851711410
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameBRADLEY WASSERMAN, M.D., PLLC
Location Address630 1ST AVE, APT 20GNew York, NY 10016-3700
Mailing Address630 1st Ave, Apt 20gNew York, NY 10016-3700 · (718) 966-6869 · Fax (718) 989-6995
Phone(718) 966-6869
Fax(718) 989-6995
Organization SubpartNo
Authorized OfficialBradley R WassermanPhysican · (212) 750-1110
Enumeration DateApril 22, 2014
✔ NPI 1851711410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in NY · 246054
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
630 1ST AVE, New York, NY 10016
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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 3

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

DR. HOWARD DAVID LEIFMAN CSW, PHD
Social Worker (Clinical)
630 1ST AVE, 19S
NEW YORK, NY 10016
New York County (917) 951-6746
AMI A SHAH MD
Radiology (Diagnostic Radiology)
630 1ST AVE, 30 L
NEW YORK, NY 10016
New York County (917) 903-2762
EXPERT RADIOLOGY IMAGING, P.C.
Clinic/Center (Radiology)
630 1ST AVE, SUITE 30 L
NEW YORK, NY 10016
New York County (917) 903-2762

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 Bradley Wasserman, M.D., PLLC's NPI number?

The NPI number for Bradley Wasserman, M.D., PLLC is 1851711410. It was assigned to this organization in the NPPES registry on April 22, 2014.

Where is Bradley Wasserman, M.D., PLLC located?

Bradley Wasserman, M.D., PLLC is located at 630 1st Ave Apt 20G, New York, NY 10016. The listed phone number is (718) 966-6869.

What is Bradley Wasserman, M.D., PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Bradley Wasserman, M.D., PLLC was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.