Edwina Verner, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA03802100 Issued in NJ

Practice address

86 S Harrison St
East Orange, NJ 07018-1704

Phone

(973) 414-1886

Fax

(973) 674-6134

NPI assigned

May 16, 2006

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Interoperability endpoints

• Direct secure messaging: edwina.verner@nchc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

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.

• Bright Future Pediatrics

  • Pediatrics Physician
  • East Orange, NJ
  • NPI 1770538654
  NPD (past)
• Newark Beth Israel Medical Center Inc

  dba Newark Beth Israel Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)
• Newark Community Health Centers, Inc

  dba Ironbound Medical & Dental Center

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1366993586
  NPD (past)
• Newark Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1740345693
  NPD (past)
• Newark Community Health Centers,Inc.

  • Federally Qualified Health Center (FQHC)
  • East Orange, NJ
  • NPI 1194996645
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1457303919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3155",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070193155",
            "telephone_number": "973-414-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 S HARRISON ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181704",
            "telephone_number": "973-414-1886",
            "fax_number": "973-674-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNER",
        "first_name": "EDWINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA03802100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1479407",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "982 BROAD STREET",
            "identifier": "15484310901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "741 BROADWAY",
            "identifier": "1740345693",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "101 LUDLOW STREET",
            "identifier": "1932370483",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "444 WILLIAM STREET",
            "identifier": "1194996645",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rani V Vaswani, MD
• Tanya Veltz
• Ann Verghese, PHARM.D
• Verified Home Solutions, Inc. (VHS)
• Victor T Verlezza, D.C.
• Veterans Affairs Medical Center
• Viabi Trans LLC
• Sakinah M Vice
• Victimtovictory
• Victory Health Solutions Inc.

• Pediatric Adolescent Medicine Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.