Krista Wasserman (NPI# 1063806552, PAC ID# 2163776444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1063806552 |
| PAC ID by PECOS | 2163776444 |
| Professional Enrollment ID | I20190613001426 |
| Full Name | Krista Wasserman |
| Organization Legal Name | SQUARE CARE MEDICAL GROUP LLP |
| Address |
1615 Northern Blvd Suite 106 Manhasset NY 11030-3033 |
| Phone Number | 5164827666 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7012938434 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1615 Northern Blvd, Suite 106, Manhasset, NY 11030-3033 | 5164827666 | SQUARE CARE MEDICAL GROUP LLP |
| 40 Crossways Park Dr, Suite 101, Woodbury, NY 11797-2038 | 5164963900 | SQUARE CARE MEDICAL GROUP LLP |
| Organization Legal Name | SQUARE CARE MEDICAL GROUP LLP |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Patricia Paccione | Nurse Practitioner | Square Care Medical Group LLP | 200 W Main St, Suite A103, Babylon, NY 11702-3434 |
| Ella Uvadyeva | Obstetrics/gynecology | Square Care Medical Group LLP | 173 Mineola Blvd, Suite 200, Mineola, NY 11501-2530 |
| Terah J Stiell | Physician Assistant | Square Care Medical Group LLP | 40 Crossways Park Dr, Suite 101, Woodbury, NY 11797-2038 |
| Christopher J Berard | Family Medicine | Square Care Medical Group LLP | 191 Herricks Rd, Garden City Park, NY 11040-5236 |
| Stacey Joy Digiacomo | Physician Assistant | Square Care Medical Group LLP | 191 Herricks Rd, Garden City Park, NY 11040-5236 |
| Jennifer Slagus | Obstetrics/gynecology | Square Care Medical Group LLP | 48 Route 25a, Suite 207, Smithtown, NY 11787-1448 |
| Charles T Mann | Obstetrics/gynecology | Square Care Medical Group LLP | 191 Herricks Rd, Garden City Park, NY 11040-5236 |
| Laura J Cerlini | Nurse Practitioner | Square Care Medical Group LLP | 191 Herricks Rd, Garden City Park, NY 11040-5236 |
| Loren Lyons | Nurse Practitioner | Square Care Medical Group LLP | 191 Herricks Rd, Garden City Park, NY 11040-5236 |
| Ilia E Calluzzo | Obstetrics/gynecology | Square Care Medical Group LLP | 3629 Bell Blvd, Bayside, NY 11361-2056 |
| Street Address |
1615 NORTHERN BLVD SUITE 106 |
| City | MANHASSET |
| State | NY |
| Zip | 11030-3033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen M Castro | Physical Therapy | Physioelements Physical Therapy, Pllc | 1615 Northern Blvd, Suite 202, Manhasset, NY 11030-3033 |
| Steven M Seidman | Obstetrics/gynecology | Square Care Medical Group LLP | 1615 Northern Blvd, Suite 106, Manhasset, NY 11030-3033 |
| Louis J Auguste | General Surgery | 1615 Northern Blvd, Suite 302, Manhasset, NY 11030-3033 | |
| Beth R Gross | Diagnostic Radiology | Square Care Medical Group LLP | 1615 Northern Blvd, Suite 106, Manhasset, NY 11030-3033 |
| Justin M Petrocelli | Obstetrics/gynecology | Square Care Medical Group LLP | 1615 Northern Blvd, Suite 106, Manhasset, NY 11030-3033 |
| Jessica Newburger | Dermatology | Long Island Dermatology Pllc | 1615 Northern Blvd, Suite 400, Manhasset, NY 11030-3033 |
| Michelle A Smith-levitin | Obstetrics/gynecology | Square Care Medical Group LLP | 1615 Northern Blvd, Suite 106, Manhasset, NY 11030-3033 |
| Nara Yoon | Physical Therapy | Physioelements Physical Therapy, Pllc | 1615 Northern Blvd, Suite 202, Manhasset, NY 11030-3033 |
| Richard Trongone | Obstetrics/gynecology | Square Care Medical Group LLP | 1615 Northern Blvd, Suite 106, Manhasset, NY 11030-3033 |
| Theodora N Petratos | Ophthalmology | Manhasset Eye Physicians, P.C. | 1615 Northern Blvd, Suite 403, Manhasset, NY 11030-3033 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Lerner | Diagnostic Radiology | 37 Valley Rd, Manhasset, NY 11030-1441 | |
| Anna K Imperato | Rheumatology | 19 Orchard St, Suite 1, Manhasset, NY 11030-1921 | |
| Peter J Lacorte | Optometry | 433 Plandome Rd, Manhasset, NY 11030-1942 | |
| Charles B Beasley | Psychiatry | 565 Plandome Rd, Suite 169, Manhasset, NY 11030-1945 | |
| Ilan J Safir | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Gary Goldberg | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Sarah K Girardi | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Dennis Lynch | Physician Assistant | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Felix L Badillo | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Anthony L Luciano | Internal Medicine | 450 Plandome Rd, Suite 2, Manhasset, NY 11030-1962 | |
| Find all physicians in zip 11030 | |||
| City | MANHASSET |
| Zip Code | 11030 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MANHASSET + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Krista Wasserman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.