Active NPI
Edner Registre, D.P.M.
- Podiatrist
- Cambria Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- R93136
- Practice address
- 11572 Francis Lewis Blvd
Cambria Heights, NY 11411-1028 - Phone
- (718) 276-8666
- NPI assigned
- Jun 28, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 006837 | NY | |
| Podiatrist | 213E00000X | R93136 | NY | Primary |
Addresses
Primary practice location
11572 Francis Lewis Blvd
Cambria Heights, NY 11411-1028
Mailing address
166 Roquette Ave
Elmont, NY 11003-1209
Phone (347) 679-5443
Other practice location 1
2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone (718) 692-5300
Other practice location 2
10 E Merrick Rd Ste 301
Valley Stream, NY 11580-5800
Phone (347) 679-5443
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 E 5TH St
Brooklyn, NY 11218-2404
Phone (718) 435-1031
Hospital & facility affiliations
- New York Community Hospital of Brooklyn, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2212 |
| Removal or shaving of skin growth | 2924 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006837 | NY | MD | Podiatrist |
| R93136 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santi Podiatry Group PLLC | Current | Accepting new patients | |
| South Shore Family Medical Associates, P.C. | Past | Accepting new patients | |
| Charles J Pearlman MD PLLC | Past | Accepting new patients |
Locations
240 E 5th St
Brooklyn, NY 11218
Phone (718) 435-1031
2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1083051734
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1982979639
-
- Family Medicine Physician
- Inwood, NY
- NPI 1720122716
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1215030697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1104231125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 ROQUETTE AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031209",
"telephone_number": "347-679-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11572 FRANCIS LEWIS BLVD",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111028",
"telephone_number": "718-276-8666"
}
],
"practiceLocations": [
{
"address_1": "2525 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291705",
"country_code": "US",
"telephone_number": "718-692-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 E Merrick Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Valley Stream",
"state": "NY",
"postal_code": "115805800",
"country_code": "US",
"telephone_number": "347-679-5443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REGISTRE",
"first_name": "EDNER",
"name_prefix": "Mr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-28",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "006837",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "R93136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.