Active NPI
Edward A Braunstein, M.D.
- Ophthalmology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 156004
- Practice address
- 111 Wadsworth Ave
New York, NY 10033-6102 - Phone
- (646) 627-7544
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MA43221 | NJ | |
| Pediatrics Physician | 208000000X | 156004 | NY | |
| Ophthalmology Physician | 207W00000X | 156004 | NY | Primary |
Addresses
Primary practice location
111 Wadsworth Ave
New York, NY 10033-6102
Mailing address
P.O. Box 82
Manalapan, NJ 07724
Phone (732) 239-2231
Other practice location 1
7 Patton Ct
Manalapan, NJ 07726-7950
Phone (732) 239-2231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00795473 | Medicaid | NY | |
| 0854506 | Medicaid | NJ |
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Wadsworth Ave
New York, NY 10033-6102
Phone (646) 682-7544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA43221 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrovascular LLC | Multi-Specialty | Current | Accepting new patients |
| Intermed Care PC | Multi-Specialty | Current | Accepting new patients |
| Jal 28 LLC | Multi-Specialty | Past | Accepting new patients |
| Mermaid Management Inc | Multi-Specialty | Past | Accepting new patients |
Locations
1849 86th St
Brooklyn, NY 11214
Phone (718) 232-3004
3048 Brighton 1st St
Brooklyn, NY 11235
Phone (718) 368-1170
3048 Brighton 1st St
Ste 1
Brooklyn, NY 11235
Phone (718) 368-1170
26701 Hillside Ave
Glen Oaks, NY 11004
Phone (347) 894-9531
111 Wadsworth Ave
New York, NY 10033
Phone (212) 740-7400
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- New York, NY
- NPI 1013394360
-
- Vascular & Interventional Radiology Physician
- New York, NY
- NPI 1659268050
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1003949322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 82",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "07724",
"telephone_number": "732-239-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WADSWORTH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100336102",
"telephone_number": "646-627-7544"
}
],
"practiceLocations": [
{
"address_1": "7 Patton Ct",
"address_purpose": "LOCATION",
"city": "Manalapan",
"state": "NJ",
"postal_code": "077267950",
"country_code": "US",
"telephone_number": "732-239-2231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAUNSTEIN",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "MA43221",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "156004",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "156004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00795473",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0854506",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.