Ellen I Edgar, M.D.

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

259540 Issued in NY

Practice address

18975 Collins Ave Unit 1602
Sunny Isl BCH, FL 33160-2357

Phone

(718) 790-7530

Fax

(717) 544-4201

NPI assigned

Jan 18, 2011

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ, FL3 enrollments

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.

Enrollment records 3

Specialty

Neurology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Complete Neurological Care PCGroup PAC ID 9537320593, 14 clinicians

SJ All Medical PCGroup PAC ID 9830412642, 10 clinicians

Comprehensive Neurological Care PAGroup PAC ID 0446651210, 6 clinicians

Neurology Specialists of Long Island PCGroup PAC ID 0042681397, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: ellen.edgar@pafm.eclinicaldirectplus.com

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.

• Complete Neurological Care PC

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1962775882
  Medicare reassignment Care Compare group NPD Authorized official
• SJ All Medical PC

  • Clinical Neurophysiology Physician
  • Valley Stream, NY
  • NPI 1750793642
  Medicare reassignment Care Compare group NPD Authorized official
• Comprehensive Neurological Care PA

  • Neurology Physician
  • Sunny Isl BCH, FL
  • NPI 1104406750
  Medicare reassignment Care Compare group NPD
• Complete Neurological Care of NJ PC

  • Clinical Neurophysiology Physician
  • Passaic, NJ
  • NPI 1134668981
  Medicare reassignment NPD Authorized official
• Greater Ny Neurology PC

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1073947156
  Medicare reassignment NPD Authorized official
• Neurology Specialists of Long Island, P.C.

  • Neurology Physician
  • Hicksville, NY
  • NPI 1184356321
  Medicare reassignment Care Compare group NPD
• Madison Medical Practice P.C.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1871751735
  NPD (past)
• SK Neurology PC

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1578108635
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1326343625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BRIGHTWATER AVE",
            "address_2": "APT 18IJ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355962",
            "telephone_number": "347-634-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18975 COLLINS AVE UNIT 1602",
            "city": "SUNNY ISL BCH",
            "state": "FL",
            "postal_code": "331602357",
            "telephone_number": "718-790-7530",
            "fax_number": "717-544-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "ELLEN",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME129771",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME129771",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "259540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Neurological Care PA
• Doctor at My Door, LLC
• Yaney Guerra Garcia, BCBA 1-19-35153
• Merlin Wound Care Inc

• Clinical Neurophysiology Physician in Sunny Isl BCH, FL
• Providers in Sunny Isl BCH, FL by specialty
• Clinical Neurophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.