Individual provider Active NPI

Edwidge Thomas, DNP, ANP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1144369992
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300839 Issued in NY
Practice address
345 E 24TH St
Suite 1B
New York, NY 10010-4020
Phone
(212) 998-9420
Fax
(212) 995-4243
NPI assigned
Feb 6, 2007
Last updated
Jun 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F300839 NY Primary

Addresses

Primary practice location

345 E 24TH St
Suite 1B
New York, NY 10010-4020

Mailing address

345 E 24TH St
Suite 1B
New York, NY 10010-4020
Phone (212) 998-9420

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000800 NY Practitioner - Nurse Practitioner 0446424915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F300839NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Jun 24, 2019 Accepting new patients
Columbia Advanced Nurse Practioners Adult Health PastSince May 5, 2012 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

31 W Broad St
Fl 3
Haverstraw, NY 10927
Phone (845) 429-4499

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: edwidge.thomas@hrh.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Healthcare NetworkJamaica, NY, CCN 331943 Federally qualified health center Corporate Officer
Corporate Director
Aug 19, 2021
Aug 19, 2021
Community Healthcare Network IncBrooklyn, NY, CCN 331944 Federally qualified health center Corporate Officer
Corporate Director
May 20, 2021
May 20, 2021
Community Healthcare Network IncBrooklyn, NY, CCN 331954 Federally qualified health center Corporate Officer
Corporate Director
Aug 19, 2021
Aug 19, 2021
Community Healthcare Network IncBrooklyn, NY, CCN 331945 Federally qualified health center Corporate Director Dec 1, 2021
Community Healthcare Network IncNew York, NY, CCN 331946 Federally qualified health center Corporate Director Dec 1, 2021
Community Healthcare Network IncNew York, NY, CCN 331947 Federally qualified health center Corporate Director Dec 1, 2021
Community Healthcare Network IncBronx, NY, CCN 331952 Federally qualified health center Corporate Director Dec 1, 2021
Community Healthcare Network IncNew York, NY, CCN 331978 Federally qualified health center Corporate Officer
Corporate Director
Aug 19, 2021
Aug 19, 2021
Community Healthcare Network IncLong Island City, NY, CCN 331009 Federally qualified health center Corporate Officer
Corporate Director
Aug 19, 2021
Aug 19, 2021
Tremont Health CenterBronx, NY, CCN 331043 Federally qualified health center Corporate Officer
Corporate Director
May 20, 2021
May 20, 2021
Community Healthcare Network IncJamaica, NY, CCN 331058 Federally qualified health center Corporate Director Dec 1, 2021
East New York Health HubBrooklyn, NY, CCN 571174 Federally qualified health center Corporate Director Dec 1, 2021

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1144369992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 24TH ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "212-998-9420",
            "fax_number": "212-995-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 24TH ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "212-998-9420",
            "fax_number": "212-995-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EDWIDGE",
        "credential": "DNP, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.