Active NPI
Sharon Edwards, M.D
- Pediatric Adolescent Medicine Physician
- New York, NY
National Provider Identifier
1124049713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 182272
- Practice address
- 312 E 94TH St
New York, NY 10128-5604 - Phone
- (212) 423-2900
- Fax
- (212) 423-2920
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 182272-1 | NY | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 182272 | NY | Primary |
| Pediatrics Physician | 208000000X | 182272 | NY |
Addresses
Primary practice location
312 E 94TH St
New York, NY 10128-5604
Mailing address
312 E 94TH St
New York, NY 10128-5604
Phone (212) 423-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182272 | NY | MD | Pediatric Adolescent Medicine Physician |
| 182272-1 | NY | MD | Adolescent and Children Mental Health Clinic/Center |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1124049713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E 94TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285604",
"telephone_number": "212-423-2900",
"fax_number": "212-423-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E 94TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285604",
"telephone_number": "212-423-2900",
"fax_number": "212-423-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SHARON",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NY",
"license": "182272-1",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "182272",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "182272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Natasha Louise Edwards, M.A. LMHC
- Rachel Edwards
- Rory Benjamin Edwards, MD
- Sara Edwards, MD
- Sarah Edwards, M.S., CCC-SLP
- Tashanee Edwards, LMHC, NCC, LPC
- Tka Edwards, NP
- Edwin Depner Mental Health Counseling PLLC
- Edwin Gould Services for Children & Families
- Edwin Gould Services for Children and Families
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.