DR. LARRY STEPHEN WASSER (NPI# 1124011457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124011457 |
| Entity Type | Individual |
| Full Name | DR. LARRY STEPHEN WASSER |
| Credential | M.D. |
| Practice Address |
31 Old Route 7 Ste 1a Brookfield CT 06804-1714 |
| Practice Telephone | 2037402881 |
| Practice Fax Number | 2037402111 |
| Mailing Telephone | 2037402881 |
| Mailing Fax Number | 2037402111 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
029504 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
029504 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001295048 | 05 |
| Street Address |
31 OLD ROUTE 7 STE 1A |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262398 | Brooke Pawlak | Physical Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2020-10-14 |
| 1194204644 | Amara Primary Care LLC | Family Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2018-08-07 |
| 1992231880 | Siem Brinn | Massage Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-05-11 |
| 1487188892 | Edinam Akwasi Cudjoe | General Acute Care Hospital | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-04-13 |
| 1154866879 | Urgent Care Medical of New York, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-01-04 |
| 1336519537 | Urgent Care of Waterbury, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2015-09-30 |
| 1043651003 | Kimberly Carr | Nurse Practitioner | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-07-07 |
| 1790129039 | Orthoconnecticut, PC | Orthopaedic Surgery | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-04-17 |
| 1538415286 | Bruce Kistopher Roff | Acupuncturist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2012-07-31 |
| 1043574718 | Benjamin Chan | Emergency Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730181686 | Marda E Donner | Internal Medicine | 1148 Kibbee Rd, Brookfield, VT 05036-9620 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356761290 | Issahar Ben-dov | Internal Medicine | 300 Cedar St, Pulmonary &critical Care Section, Tac-441 South, New Haven, CT 06520-8057 | 2014-04-18 |
| 1669710216 | Arthur Christian Degraff Jr. | Internal Medicine | 160 Hunter Dr, West Hartford, CT 06107-1017 | 2013-01-16 |
| 1215287214 | Craig Stephen Conoscenti | Internal Medicine | 199 Gregory Blvd, Unit I5, Norwalk, CT 06855-2640 | 2012-09-17 |
| 1396024980 | Johan Van Jaarsveld | Internal Medicine | 81 Deer Run Rd, Woodbridge, CT 06525-1907 | 2011-08-12 |
| 1215143953 | Kaiser Toosy | Internal Medicine | 136 Sherman Ave Ste 302, New Haven, CT 06511-5210 | 2007-05-16 |
| 1477675098 | A. Joel Papowitz | Internal Medicine | 179 Pine Creek Ave, Fairfield, CT 06824-6341 | 2007-04-04 |
| 1639293186 | Thinesh Dahanayake | Internal Medicine | 330 Washington St Ste 430, Norwich, CT 06360-2700 | 2007-03-19 |
| 1104910215 | Christopher Edward Manfredi | Internal Medicine | 30 Stevens Street, Suite C, Norwalk, CT 06850 | 2006-10-03 |
| 1598869596 | Kanagaratnam Jegathesan Md PC | Internal Medicine | 2271 East Main St, Waterbury, CT 06705 | 2006-09-11 |
| 1497859409 | Kanagaratnam Jegathesan | Internal Medicine | 2271 East Main Street, Waterbury, CT 06705 | 2006-09-11 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.