Active NPI
Edwidge Thomas, DNP, ANP
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F300839
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F300839 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Columbia Advanced Nurse Practioners | Adult Health | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Healthcare Network | Federally qualified health center | Corporate Officer Corporate Director |
Aug 19, 2021 Aug 19, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Officer Corporate Director |
May 20, 2021 May 20, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Officer Corporate Director |
Aug 19, 2021 Aug 19, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Director | Dec 1, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Director | Dec 1, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Director | Dec 1, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Director | Dec 1, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Officer Corporate Director |
Aug 19, 2021 Aug 19, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Officer Corporate Director |
Aug 19, 2021 Aug 19, 2021 |
| Tremont Health Center | Federally qualified health center | Corporate Officer Corporate Director |
May 20, 2021 May 20, 2021 |
| Community Healthcare Network Inc | Federally qualified health center | Corporate Director | Dec 1, 2021 |
| East New York Health Hub | 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.
-
dba Helen B. Atkinson Health Center
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1154498053
Corporate Director
-
dba Dr. Betty Shabazz Health Center
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1154498822
Corporate Director, Corporate Officer
-
dba Bronx Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1316014103
Corporate Director
-
dba Community League Health Center
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1467529115
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1497822209
Corporate Director
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1124396874
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1184791923
Corporate Director, Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1326525338
Corporate Director
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1639459142
Corporate Director, Corporate Officer
-
dba Lower East Side Health Center
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1699842500
Corporate Director, Corporate Officer
-
dba Carribean House Health Center
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1811064744
Corporate Director, Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Long Island City, NY
- NPI 1952542771
Corporate Director, Corporate Officer
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1104047984
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.