Michael Charles Edelstein, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005269 Issued in NY

Practice address

3224 Grand Concourse, Suite #Ba
Bronx, NY 10458

Phone

(718) 561-0041

Fax

(718) 561-0188

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Medical Group of the Mount Sinai School of MedicineGroup PAC ID 8921999087, 325 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• North Shore Medical Group of the Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Greenlawn, NY
  • NPI 1275640609
  Medicare reassignment Care Compare group NPD
• Preferred Family Footcare of Li PLLC

  • Podiatrist
  • Roslyn, NY
  • NPI 1083974653
  Medicare reassignment NPD
• Preferred Family Footcare, LLP

  • Podiatrist
  • Flushing, NY
  • NPI 1740315308
  Medicare reassignment NPD
• Dr Michael Edelstein

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
  • NPI 1801057070
  NPD (past) Authorized official
• North Shore Medical Group of the Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Commack, NY
  • NPI 1144431701

  Podiatrist

  NPD
• North Shore Medical Group of the Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Wantagh, NY
  • NPI 1992417323
  NPD
• Life'S Worc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Little Neck, NY
  • NPI 1295880714
  NPD (past)
• Welllife Network Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • College Point, NY
  • NPI 1265596779
  NPD (past)
• Welllife Network Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hollis, NY
  • NPI 1316001902
  NPD (past)
• Welllife Network Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • South Richmond Hill, NY
  • NPI 1356405880
  NPD (past)
• Welllife Network Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Flushing, NY
  • NPI 1881749075
  NPD (past)
• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1376546853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WICKS DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253921",
            "telephone_number": "718-561-0041",
            "fax_number": "718-561-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 GRAND CONCOURSE, SUITE #BA",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-561-0041",
            "fax_number": "718-561-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005269",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01739239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Edelman
• David Seth Edelman
• Etana D Edelman
• Deborah Edelstein-Weiss, SLP
• Annette L. Edelstein
• Temituoyo Edema
• Melinda Eden
• Ryan Edens
• Edenwald Pharmacy Inc.
• Nsibietobong Jacob Edet

• Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.