Active NPI
Gerald Patrick Edwards, MD.
- Family Medicine Physician
- Cazenoviz, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 191431
- Practice address
- 132 1/2 Albany Street
Cazenoviz, NY 13035 - Phone
- (315) 655-8171
- Fax
- (315) 655-5923
- NPI assigned
- Jul 19, 2006
- Last updated
- Jan 13, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 191431 | NY | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 191431 | NY |
Addresses
Primary practice location
132 1/2 Albany Street
Cazenoviz, NY 13035
Mailing address
5112 West Taft Road
Suite L
Liverpool, NY 13088
Phone (315) 452-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01546309 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
4101 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 637-7878
4103 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1500
4117 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1551
5100 W Taft Rd
Liverpool, NY 13088-4841
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191431 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Physician Health, P.C. | Family Medicine | Current | Accepting new patients |
| St. Joseph's Pathology, PC | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| Emergency Care Services of New York, P.C. | Current | Accepting new patients | |
| St Josephs Medical PC | Family Medicine | Current | Accepting new patients |
| North Medical PC | Family Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Onondaga County, PLLC | Past | Accepting new patients |
Locations
132 Albany St
Ste 12
Cazenovia, NY 13035
Phone (315) 655-3668
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
5112 W Taft Rd
Ste L
Liverpool, NY 13088
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Rm 1605
Syracuse, NY 13203
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
Interoperability endpoints
- gedwards2389975@direct.trinity-health.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
Family Medicine
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1932148863
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hamilton, NY
- NPI 1992707608
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1487673125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 WEST TAFT ROAD",
"address_2": "SUITE L",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "13088",
"telephone_number": "315-452-2500",
"fax_number": "315-452-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 1/2 ALBANY STREET",
"city": "CAZENOVIZ",
"state": "NY",
"postal_code": "13035",
"telephone_number": "315-655-8171",
"fax_number": "315-655-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "GERALD",
"middle_name": "PATRICK",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "191431",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "191431",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01546309",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cazenoviz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.