Active NPI
Carolyn Rose Lederman, MD
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Purchase, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- 193530
- Practice address
- 3020 Westchester Avenue
Suite 402
Purchase, NY 10577-2561 - Phone
- (914) 417-6441
- Fax
- (914) 948-2020
- NPI assigned
- Jun 21, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 193530 | NY | |
| Ophthalmology Physician | 207W00000X | 039687 | CT | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 193530 | NY | Primary |
Addresses
Primary practice location
3020 Westchester Avenue
Suite 402
Purchase, NY 10577-2561
Mailing address
3020 Westchester Avenue
Suite 402
Purchase, NY 10577-2561
Phone (914) 417-6441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01748329 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3020 Westchester Ave
Purchase, NY 10577-2561
3020 Westchester Ave
Suite 201
Purchase, NY 10577-2597
Phone (914) 417-6441
Hospital & facility affiliations
- White Plains Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039687 | CT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lederman and Lederman LLP | Ophthalmology | Current | Accepting new patients |
| Negrin MD PLLC | Past | Accepting new patients |
Locations
3020 Westchester Ave
Ste 201
Purchase, NY 10577
Phone (914) 417-6441
3020 Westchester Ave
Purchase, NY 10577
Phone (914) 253-6464
3020 Westchester Ave
Ste 402
Purchase, NY 10577
Phone (914) 417-6441
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Purchase, NY
- NPI 1437100682
-
- Specialist
- New York, NY
- NPI 1699204859
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1184660904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 WESTCHESTER AVENUE",
"address_2": "SUITE 402",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772561",
"telephone_number": "914-417-6441",
"fax_number": "914-948-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 WESTCHESTER AVENUE",
"address_2": "SUITE 402",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772561",
"telephone_number": "914-417-6441",
"fax_number": "914-948-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "CAROLYN",
"middle_name": "ROSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "193530",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "039687",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "NY",
"license": "193530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01748329",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.