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JOHN M WATERMAN CASAC
NPI 1891183216
Counselor - Addiction (Substance Use Disorder) in Patchogue, NY

Active since January 07, 2015
475 E MAIN ST, SUITE 1, PATCHOGUE, NY 11772(631) 363-2001(631) 702-8050 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John M Waterman Casac NPPES

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

JOHN M WATERMAN CASAC (NPI 1891183216) is an individual addiction (substance use disorder) provider in Patchogue, New York, licensed in New York (25901) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1891183216
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN M WATERMANCredential: CASAC
Location Address475 E MAIN ST, SUITE 1Patchogue, NY 11772-3121
Mailing Address657 S Country RdE Patchogue, NY 11772-5550 · (631) 371-2680 · Fax (631) 702-8050
Phone(631) 363-2001
Fax(631) 702-8050
Sole ProprietorYes
Enumeration DateJanuary 7, 2015
✔ NPI 1891183216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 25901
475 E MAIN ST, Patchogue, NY 11772
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Other Providers at the Same Location NPPES 20

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

ROBERT BASEDOW
Social Worker
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 286-8282
THERAPUTIC MEDICAL INFUSION PC
Anesthesiology (Pain Medicine)
475 E MAIN ST, SUITE 114
PATCHOGUE, NY 11772
Suffolk County (631) 475-7700
TERRY PONTINO NP
Nurse Practitioner (Acute Care)
475 E MAIN ST
EAST PATCHOGUE, NY 11772
Suffolk County (631) 475-7700
CAROLYN VELLA CASAC
Counselor (Addiction (Substance Use Disorder))
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 569-7266
MRS. BONNIE F KOTKIN MA, LMHC
Counselor (Mental Health)
475 E MAIN ST, SUITE 200
PATCHOGUE, NY 11772
Suffolk County (516) 909-6850
DR. GINA MARIA CARDONE O.D.
Optometrist
475 E MAIN ST, 104
PATCHOGUE, NY 11772
Suffolk County (631) 654-2020
RASHA TAHA MOHAMED RIZK
Physical Therapist
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 289-0044
WAYNE VICTOR HATAMI PT
Clinic/Center (Physical Therapy)
475 E MAIN ST, SUITE 103-105
PATCHOGUE, NY 11772
Suffolk County (631) 289-0044

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 John Waterman's NPI number?

The NPI number for John Waterman is 1891183216. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Where is John Waterman located?

John Waterman practices at 475 E Main St Suite 1, Patchogue, NY 11772. The listed phone number is (631) 363-2001.

What is John Waterman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for John Waterman was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.