Individual provider Active NPI

Edward A Braunstein, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1003949322
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
156004 Issued in NY
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

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA43221 NJ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 156004 NY
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00795473MedicaidNY
0854506MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110504000736 NY Practitioner - Ophthalmology 9931095361 Reassigns benefits to 2 organizations
I20250701001368 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Vascular SurgeryPractitioner - Interventional RadiologyPractitioner - Interventional Cardiology 9931095361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ace Medical Care PCGroup PAC ID 6608181979, 2 clinicians

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

LicenseStateTypeSpecialty
MA43221NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrovascular LLC Multi-Specialty CurrentSince Jun 19, 2025 Accepting new patients
Intermed Care PC Multi-Specialty CurrentSince May 16, 2011 Accepting new patients
Jal 28 LLC Multi-Specialty Past Accepting new patients
Mermaid Management Inc Multi-Specialty PastSince Jan 15, 2020 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.

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

Verify at the official NPI Registry.