Organization Active NPI

Stuart R. Edelson, M.D., P.C.

  • Psychiatric Residential Treatment Facility
  • New York, NY
National Provider Identifier
1255668281
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
MD084582 Issued in NY
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

Updated by the provider on Nov 12, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.