DR. MATTHEW BRIAN WASSER (NPI# 1538588371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538588371 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BRIAN WASSER |
| Credential | M.D. |
| Practice Address |
890 Mountain Ave New Providence NJ 07974-1218 |
| Mailing Address |
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104 |
| Practice Telephone | 9082778900 |
| Mailing Telephone | 9082734300 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA10762700 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
890 MOUNTAIN AVE |
| City | NEW PROVIDENCE |
| State | NJ |
| Zip Code | 07974-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867268 | Joseph A Barresi | Obstetrics & Gynecology | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2005-08-03 |
| 1447637087 | Melissa Gagescu | Social Worker | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2015-05-04 |
| 1194117127 | Teresa V Brown | Internal Medicine | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2015-02-27 |
| 1710307483 | Jamieson Hart Greenwald | Obstetrics & Gynecology | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2014-04-22 |
| 1285052662 | Marla Guzman | Pediatrics | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2014-04-02 |
| 1275958431 | April Bickoff | Psychologist | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2014-02-25 |
| 1598194698 | Brooke Laster | Social Worker | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2013-11-08 |
| 1952643355 | Andrea Gibbons Hubschmann | Obstetrics & Gynecology | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2013-03-23 |
| 1639466634 | Ankur Modi | Internal Medicine | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2011-06-29 |
| 1548598063 | Stephanie Jane Cummings-becker | Specialist | 890 Mountain Ave, New Providence, NJ 07974-1218 | 2009-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775996 | A & J Majestic Care, LLC | In Home Supportive Care | 36 High Street, New Providence, NJ 07974 | 2018-09-25 |
| 1790222131 | Lantern Hill, Inc. | Skilled Nursing Facility | 537 Mountain Avenue, Attn: Extended Care Adminstrator, New Providence, NJ 07974 | 2017-01-24 |
| 1770960585 | Brett Pearsall | Chiropractor | 571 Central Ave Ste 103, New Providence, NJ 07974 | 2015-04-30 |
| 1548591340 | Sushmita Srivastav | Internal Medicine | 535 Mountain Ave, New Providence, NJ 07974 | 2010-01-19 |
| 1548406465 | Benjamin Mark Schneider | Radiology | 1811 Springfield Avenue, Summit Radiological Associates, New Providence, NJ 07974 | 2008-12-23 |
| 1033314042 | Jeffrey T Leary | Orthopaedic Surgery | 550 Central Ave Ste 500, New Providence, NJ 07974 | 2007-06-19 |
| 1336369925 | James Michael Rubino | Dentist | 598 Central Avenue, New Providence, NJ 07974 | 2007-04-26 |
| 1194942839 | Patricia A Baroff | Social Worker | 114 Glenside Road, Murray Hill, NJ 07974 | 2007-04-20 |
| 1497873244 | Gastrocare, LLC | Internal Medicine | 571 Central Avenue, Suite 112, New Providence, NJ 07974 | 2007-03-27 |
| 1629196134 | Carlos Moglianesi, D.m.d. PC | Dentist | 1806 Springfield Ave., New Providence, NJ 07974 | 2007-03-26 |
| Find all providers in zip 07974 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059079 | Rr & C Associates | Psychiatry & Neurology | 705 Birchfield Dr, Mount Laurel, NJ 08054-4013 | 2019-12-09 |
| 1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
| 1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
| 1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
| 1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
| 1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
| 1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | NEW PROVIDENCE |
| Zip Code | 07974 |
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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.