Individual provider Active NPI

William Felix Edwards, D.D.S.

  • Dentist
  • Staten Island, NY
National Provider Identifier
1215028535
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01934400 Issued in NJ
Practice address
2781 Amboy Rd
Staten Island, NY 10306-2157
Phone
(718) 273-1101
Fax
(718) 273-0308
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 0455421 NY
Dentist 122300000X 22DI01934400 NJ Primary

Addresses

Primary practice location

2781 Amboy Rd
Staten Island, NY 10306-2157

Mailing address

2781 Amboy Rd
Staten Island, NY 10306-2157
Phone (718) 273-1101

Other practice location 1

796 Castleton Ave
Staten Island, NY 10310-1800
Phone (718) 727-7026

Other practice location 2

4300 Hylan Blvd Ste 2E
Staten Island, NY 10312-6505
Phone (718) 948-0870

Other identifiers 1

IdentifierTypeStateIssuer
02353313MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI01934400NJMDDentist
0455421NYMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fedwards Dental PC Dental Public Health CurrentSince Oct 13, 2024 Accepting new patients
West Brighton Studio Inc CurrentSince Sep 21, 2025 Accepting new patients
William F. Edwards DDS PC CurrentSince Sep 21, 2025 Accepting new patients

Locations

1313 Clove Rd
Staten Island, NY 10301
Phone (718) 273-1101

2781 Amboy Rd
Staten Island, NY 10306
Phone (718) 273-1011

4300 Hylan Blvd
Ste 2E
Staten Island, NY 10312
Phone (718) 948-0870

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1215028535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062157",
            "telephone_number": "718-273-1101",
            "fax_number": "718-273-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062157",
            "telephone_number": "718-273-1101",
            "fax_number": "718-273-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "796 Castleton Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101800",
            "country_code": "US",
            "telephone_number": "718-727-7026",
            "fax_number": "718-273-0308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Hylan Blvd Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103126505",
            "country_code": "US",
            "telephone_number": "718-948-0870",
            "fax_number": "718-273-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WILLIAM",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "NY",
            "license": "0455421",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01934400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02353313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.