Individual provider Active NPI

Edward Joel Mendelsohn, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1003905662
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
202108 Issued in NY
Practice address
37 Union SQ W
Third Floor
New York, NY 10003-3217
Phone
(212) 750-1110
Fax
(212) 750-1140
NPI assigned
Oct 12, 2006
Last updated
Jun 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 202108 NY Primary

Addresses

Primary practice location

37 Union SQ W
Third Floor
New York, NY 10003-3217

Mailing address

37 Union SQ W
Third Floor
New York, NY 10003-3217
Phone (212) 750-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116001093 NY Practitioner - Physical Medicine and Rehabilitation 0840254140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York Downstate Medical Center, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 W Houston St
New York, NY 10014-4846
Phone (212) 750-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Rehabilitation Services Physical Medicine & Rehabilitation Current Accepting new patients

Locations

24 E 12th St
#32
New York, NY 10003
Phone (212) 807-6599

24 E 12th St
Ste 32
New York, NY 10003

88 University Pl
New York, NY 10003
Phone (212) 691-1850

Interoperability endpoints

  • Direct secure messaging: edwardm@house.curemd.direct-ci.com
  • Direct secure messaging: emendelsohn679427@nychhc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1003905662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 UNION SQ W",
            "address_2": "THIRD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033217",
            "telephone_number": "212-750-1110",
            "fax_number": "212-750-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 UNION SQ W",
            "address_2": "THIRD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033217",
            "telephone_number": "212-750-1110",
            "fax_number": "212-750-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "EDWARD",
        "middle_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "202108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.