Active NPI
Stuart R. Edelson, M.D., P.C.
- Psychiatric Residential Treatment Facility
- New York, NY
National Provider Identifier
1255668281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- MD084582
- Legal business name
- STUART R. EDELSON, M.D., P.C.
- Practice address
- 510 E 86TH St
1D
New York, NY 10028-7504 - Phone
- (212) 861-0570
- NPI assigned
- Nov 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stuart Roy Edelson, M.D.
- Title
- President
- Phone
- (212) 861-0570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | MD084582 | NY | Primary |
Addresses
Primary practice location
510 E 86TH St
1D
New York, NY 10028-7504
Mailing address
510 E 86TH St
1D
New York, NY 10028-7504
Phone (212) 861-0570
National Provider Directory
National Provider DirectoryLocations
510 E 86th St
Apt 1D
New York, NY 10028
Phone (212) 737-2662
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Psychiatry Physician
- New York, NY
- NPI 1063620292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257984000000",
"number": "1255668281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E 86TH ST",
"address_2": "1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287504",
"telephone_number": "212-861-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E 86TH ST",
"address_2": "1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287504",
"telephone_number": "212-861-0570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART R. EDELSON, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-12",
"last_updated": "2009-11-12",
"status": "A",
"authorized_official_last_name": "EDELSON",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-861-0570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "NY",
"license": "MD084582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.