Edward James Radin, MD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

157674-1 Issued in NY

Practice address

101 Dates Dr
Ithaca, NY 14850-1342

Phone

(607) 274-4011

Fax

(607) 274-4132

NPI assigned

Jul 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Finger Lakes Emergency Physicians

  • Emergency Medicine Physician
  • Montour Falls, NY
  • NPI 1629089081
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1255457917
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Oneonta, NY
  • NPI 1316485600
  NPD (past)
• New York Em-I Medical Services PC

  • Emergency Medicine Physician
  • Ithaca, NY
  • NPI 1629182100
  NPD (past)
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Troy, PA
  • NPI 1376592493
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154355410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 DEAN CREEK RD",
            "city": "LOCKWOOD",
            "state": "NY",
            "postal_code": "148599742",
            "telephone_number": "607-589-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DATES DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501342",
            "telephone_number": "607-274-4011",
            "fax_number": "607-274-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIN",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "157674-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Ruth Rabb
• Katherine Lee Race, RN
• Isabel Rachlin, PT
• Nadia Raczek
• Melissa Radhay, LMFT
• Radiology Associates of Ithaca PC
• Radomir D Stevanovic MD PC
• Linda Radomski, MD
• Anthony Alvaro Raggi, DMD
• MD Shafwanur Rahman, MD

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.