Individual provider Active NPI

Edward Lawyer, MD

  • Emergency Medicine Physician
  • Hoboken, NJ
National Provider Identifier
1114189859
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA08416100 Issued in NJ
Practice address
308 Willow Ave
Hoboken, NJ 07030-3808
Phone
(201) 418-2065
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA08416100 NJ Primary

Addresses

Primary practice location

308 Willow Ave
Hoboken, NJ 07030-3808

Mailing address

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-2065

Other identifiers 1

IdentifierTypeStateIssuer
25MA08416100OtherNJMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080729000585 NJ Practitioner - Emergency Medicine 1052485752 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08416100NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical CurrentSince Jun 1, 2023 Accepting new patients
GT Urgent Care PC CurrentSince Jul 1, 2015 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Feb 1, 2025 Accepting new patients
Hoboken Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

1410 Delsea Dr
Deptford, NJ 08096
Phone (856) 579-8897

1410 Delsea Dr
Fl 2
Deptford, NJ 08096
Phone (856) 579-8897

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1114189859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808",
            "telephone_number": "201-418-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808",
            "telephone_number": "201-418-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWYER",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08416100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA08416100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.