JASON A. WATERMAN DO – NPI #1093784571
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JASON WATERMAN is a physician located in VALLEY STREAM, NY. NPPES has assigned the NPI number 1093784571 to JASON WATERMAN on March 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 6 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Oct 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JASON WATERMAN below.

NPI Profile for
JASON A. WATERMAN

NPI Number
1093784571
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JASON A. WATERMAN
Credentials
DO
Primary location
260 W SUNRISE HWY STE 200
VALLEY STREAM, NY 11581-1015
Phone: (516) 825-3600 Fax: (516) 823-2051
6 Other location(s):
20620 Linden Blvd
Cambria Heights, NY 11411-1524
Phone: (718) 479-6600
Fax: (718) 264-7080
14015 Sanford Ave Fl 1
Flushing, NY 11355-2686
Phone: (718) 670-6400
Fax: (718) 663-5008
180-05 Hillside Ave
Jamaica, NY 11432-4727
Phone: (718) 526-6300
Fax: (718) 286-3863
640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Phone: (631) 471-0100
Fax: (631) 471-1000
1991 Marcus Ave Fl 2
New Hyde Park, NY 11042-2057
Phone: (516) 354-1600
Fax: (516) 941-4673
300 Bayshore Road
North Babylon, NY 11703-2823
Phone: (631) 586-2700
Fax: (631) 491-8613
Mailing address
55 WATER ST FL 2
NEW YORK, NY 10041-0010
Phone: (646) 680-2888 Fax: (516) 542-5556
Sole Proprietor
No
Updated
Certification Date
Oct 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JASON WATERMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY02745242
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NY 231814

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.