Active NPI
David R. Edelstein, M.D.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- New York, NY
National Provider Identifier
1063570083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 149360
- Practice address
- 1421 3Rd Ave
4TH FLR
New York, NY 10028-1802 - Phone
- (212) 452-1500
- Fax
- (212) 472-3086
- NPI assigned
- Dec 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 149360 | NY | Primary |
Addresses
Primary practice location
1421 3Rd Ave
4TH FLR
New York, NY 10028-1802
Mailing address
1421 3Rd Ave
4TH FLR
New York, NY 10028-1802
Phone (212) 452-1500
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 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Boston University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1421 3Rd Ave
Apt 4
New York, NY 10028-1933
Phone (212) 452-1500
210 E 64TH St
FL 3
New York, NY 10065-7471
Phone (212) 452-1500
Hospital & facility affiliations
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.84 of 100
- Quality
- 93.68
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- dedelstein67521@northwell.direct-ci.com
- dae2001@direct.nyp.org
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- New York, NY
- NPI 1346422409
-
- Audiologist
- New York, NY
- NPI 1215079017
-
- Audiologist
- Whitestone, NY
- NPI 1073778700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1063570083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 3RD AVE",
"address_2": "4TH FLR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281802",
"telephone_number": "212-452-1500",
"fax_number": "212-472-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 3RD AVE",
"address_2": "4TH FLR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281802",
"telephone_number": "212-452-1500",
"fax_number": "212-472-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELSTEIN",
"first_name": "DAVID",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NY",
"license": "149360",
"primary": true
}
],
"identifiers": [],
"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 Aug 7, 2012; 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.