Juana I Edmunds, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

133090 Issued in NY

Practice address

3811 Broadway
3Rd Floor
Astoria, NY 11103-4045

Phone

(718) 726-5953

Fax

(718) 204-5308

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Steinway Child and Family Services, Inc.

  • Clinical Social Worker
  • Long Island City, NY
  • NPI 1801844584
  NPD (past)
• Steinway Wellness and Recovery

  • Psychiatric Hospital
  • Astoria, NY
  • NPI 1225403694
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1326009291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 54TH ST",
            "address_2": "# 29 A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224707",
            "telephone_number": "212-319-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 BROADWAY",
            "address_2": "3RD FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034045",
            "telephone_number": "718-726-5953",
            "fax_number": "718-204-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "JUANA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "133090",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "133090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00753984",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Eckerman
• Soula Economou
• Edith
• Christine Edmondson
• Erica L. Edmund, FNP
• Edward Feliciano MD PC
• Effective Home Care L.L.C.
• Effective Home Care LLC
• Ode Egharevba, PT, DPT
• Ego Works LLC

• Psychiatry Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.