Bruce L Edwards, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

159998 Issued in NY

Practice address

321 Crossways Park Dr Ste 1a
Woodbury, NY 11797-2066

Phone

(516) 933-1125

Fax

(516) 822-8424

NPI assigned

Oct 19, 2006

Last updated

Jul 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment
• Bruce L. Edwards MD P L L C

  • Specialist
  • Plainview, NY
  • NPI 1699938258
  Authorized official Same address or phone
• Sacred Heart Primary Care Medicine, PLLC

  • Family Medicine Physician
  • Plainview, NY
  • NPI 1235916255
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1477635357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CROSSWAYS PARK DR STE 1A",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972066",
            "telephone_number": "516-933-1125",
            "fax_number": "516-822-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CROSSWAYS PARK DR STE 1A",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972066",
            "telephone_number": "516-933-1125",
            "fax_number": "516-822-8424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Old Country Road",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "11803",
            "country_code": "US",
            "telephone_number": "516-933-1125",
            "fax_number": "516-822-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRUCE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "159998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS. Ritter-Kahn and Schildhaus, DMD PC
• Theodore Michael Dubinsky, L.C.S.W.
• Lauren Michelle Durante, NP
• Eb Licensed Clinical Social Work Services, PLLC
• Education-Relief, Inc.
• Douglas Lawrence Egan, PH.D.
• Kerry Ellen Egan, SLPD, CCC-SLP
• David Ehrlich
• Michael W Elice, M.D.
• Alicia M Elman, M.A.

• Allergy & Immunology Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.