Martin Edward Lederman, MD

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

095730 Issued in NY

Practice address

3020 Westchester Avenue
Suite 402
Purchase, NY 10577-2561

Phone

(914) 417-6441

Fax

(914) 948-2020

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 17, 2016 through Jun 17, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Lederman and Lederman LLP

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Purchase, NY
  • NPI 1437100682
  NPD (past)
• Negrin MD PLLC

  • Specialist
  • New York, NY
  • NPI 1699204859
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1295787190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVENUE",
            "address_2": "SUITE 402",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772561",
            "telephone_number": "914-417-6441",
            "fax_number": "914-948-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVENUE",
            "address_2": "SUITE 402",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772561",
            "telephone_number": "914-417-6441",
            "fax_number": "914-948-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "MARTIN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "014292",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "095730",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NY",
            "license": "095730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00890937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Lambert
• Charisse Lasola
• David B Lawrence, M.D.
• Lederman and Lederman LLP
• Carolyn Rose Lederman, MD
• Helen Leff, LCSW
• Jay M Levat, MD
• Charles King Levin, DDS
• Susan Levine, PT
• Liberty RC Inc

• Pediatric Ophthalmology and Strabismus Specialist Physician in Purchase, NY
• Providers in Purchase, NY by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.