Active NPI
Albert E Edano MD PC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1124311188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 198162-1
- Legal business name
- ALBERT E EDANO MD PC
- Practice address
- 1963 Rockaway Pkwy
Brooklyn, NY 11236-5505 - Phone
- (718) 241-1513
- Fax
- (718) 241-1513
- NPI assigned
- May 25, 2011
- Last updated
- May 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert E Edano, MD
- Title
- President
- Phone
- (516) 792-0789
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 198162-1 | NY | Primary |
Addresses
Primary practice location
1963 Rockaway Pkwy
Brooklyn, NY 11236-5505
Mailing address
741 Turf Rd
Valley Stream, NY 11581-3505
Phone (516) 792-0789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01591400 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1720146699
-
- Internal Medicine Physician
- Arverne, NY
- NPI 1578646477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306281600000",
"number": "1124311188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 TURF RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813505",
"telephone_number": "516-792-0789",
"fax_number": "516-792-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1963 ROCKAWAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365505",
"telephone_number": "718-241-1513",
"fax_number": "718-241-1513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT E EDANO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A",
"authorized_official_last_name": "EDANO",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-792-0789",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "198162-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01591400",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.