Active NPI
Edward F Reda, MD
- Urology Physician
- Tarrytown, NY
National Provider Identifier
1376579938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 149688
- Practice address
- 150 White Plains Rd
Suite 306
Tarrytown, NY 10591-5535 - Phone
- (914) 493-8628
- Fax
- (914) 493-8564
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 149688 | NY | |
| Urology Physician | 208800000X | 149688 | NY | Primary |
Addresses
Primary practice location
150 White Plains Rd
Suite 306
Tarrytown, NY 10591-5535
Mailing address
247 Route 100
Suite 1002
Somers, NY 10589-3231
Phone (914) 962-8290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00715586 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Pediatric Urology Associates of New Jersey, PC | Past | Accepting new patients |
Interoperability endpoints
- edwardreda@mai.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Specialist
- Englewood, NJ
- NPI 1013295245
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1376579938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 ROUTE 100",
"address_2": "SUITE 1002",
"city": "SOMERS",
"state": "NY",
"postal_code": "105893231",
"telephone_number": "914-962-8290",
"fax_number": "914-962-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WHITE PLAINS RD",
"address_2": "SUITE 306",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915535",
"telephone_number": "914-493-8628",
"fax_number": "914-493-8564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDA",
"first_name": "EDWARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "NY",
"license": "149688",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "149688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00715586",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.