Individual provider Active NPI

Maureen Elizabeth Edwards, M.D.

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1225174188
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
165553 Issued in NY
Practice address
335 Old Tarrytown Rd
White Plains, NY 10603-2811
Phone
(914) 993-7800
Fax
(914) 993-7885
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 165553 NY Primary

Addresses

Primary practice location

335 Old Tarrytown Rd
White Plains, NY 10603-2811

Mailing address

335 Old Tarrytown Rd
White Plains, NY 10603-2811
Phone (914) 993-7800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000636 NY Practitioner - Internal Medicine 8224003835 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165553NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerlight Healthcare, Inc. CurrentSince May 9, 2017 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

2401 White Plains Rd
Bronx, NY 10467
Phone (718) 515-8600

1250 Waters Pl
Ste 602
Bronx, NY 10461
Phone (877) 226-8500

335 Old Tarrytown Rd
White Plains, NY 10603
Phone (718) 362-1453

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1225174188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 OLD TARRYTOWN RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032811",
            "telephone_number": "914-993-7800",
            "fax_number": "914-993-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 OLD TARRYTOWN RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032811",
            "telephone_number": "914-993-7800",
            "fax_number": "914-993-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.