Matthew Edwards

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060142 Issued in NY

Practice address

201 E 17TH St Ofc 1
New York, NY 10003-3607

Phone

(347) 903-7277

Fax

(347) 803-1838

NPI assigned

Sep 10, 2014

Last updated

May 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Matthew Edwards DDS LLC

  dba Gramercy Dental Suite

  • Dentist
  • New York, NY
  • NPI 1861130122
  NPD Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1225439110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 17TH ST OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033607",
            "telephone_number": "347-903-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 17TH ST OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033607",
            "telephone_number": "347-903-7277",
            "fax_number": "347-803-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856795",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30345",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@gramercydentalsuite.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 E 17th St Ofc 1",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100033607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Edwards, LMSW
• Laura Ostanek Edwards, D.M.D.
• Lindsey P Edwards, LMSW
• Lisa Ann Edwards
• Martha Eugenia Edwards, PH.D.
• Maurice Luther Edwards, D.M.D.
• Megan Edwards, DPT
• Melanie Kathryn Arnold Edwards, MD
• Michelle Zakinat Edwards, LPN
• Monica E Edwards

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.