Individual provider Active NPI

Marsha Wainwright Edwards, M.D.

  • Emergency Medicine Physician
  • Rockaway Beach, NY
National Provider Identifier
1194980789
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MT193770 Issued in PA
Practice address
8400 Shore Front Pkwy
Apt 6E
Rockaway Beach, NY 11693-1811
Phone
(917) 974-6701
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT193770 PA Primary

Addresses

Primary practice location

8400 Shore Front Pkwy
Apt 6E
Rockaway Beach, NY 11693-1811

Mailing address

8400 Shore Front Pkwy
Apt 6E
Rockaway Beach, NY 11693-1811
Phone (917) 974-6701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000072 NJ Practitioner - Emergency Medicine 9436327301 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Hyperbaric Medicine LLCGroup PAC ID 9436427499, 28 clinicians

Practice addresses (Care Compare)

501 Front St
Elmer, NJ 08318-2101
Phone (856) 363-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT193770PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Health System Emergency Physician Services P a Emergency Medicine CurrentSince Jun 1, 2011 Accepting new patients
South Jersey Hyperbaric Medicine LLC CurrentSince Nov 11, 2020 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1194980789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 SHORE FRONT PKWY",
            "address_2": "APT 6E",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931811",
            "telephone_number": "917-974-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 SHORE FRONT PKWY",
            "address_2": "APT 6E",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931811",
            "telephone_number": "917-974-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT EDWARDS",
        "first_name": "MARSHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT193770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

Verify at the official NPI Registry.