NPIMap

Individual provider Active NPI

Freddie L Edelman, DPM

  • Foot & Ankle Surgery Podiatrist
  • North Syracuse, NY
National Provider Identifier
1508843855
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N002777-1 Issued in NY
Practice address
514 S Bay Rd
North Syracuse, NY 13212-3627
Phone
(315) 458-1777
Fax
(315) 458-9661
NPI assigned
Dec 28, 2005
Last updated
Feb 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N002777-1 NY Primary

Addresses

Primary practice location

514 S Bay Rd
North Syracuse, NY 13212-3627

Mailing address

514 S Bay Rd
North Syracuse, NY 13212-3627
Phone (315) 458-1777

Other identifiers 1

IdentifierTypeStateIssuer
00606657MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000030 NY Practitioner - Podiatry 8628024460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 N Broad St
Norwich, NY 13815-1352
Phone (607) 336-3338

514 S Bay Rd
North Syracuse, NY 13212-3627
Phone (315) 458-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.11 of 100Reported as individual
Quality
22.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions49
Removal of nail tissue1490
Removal or shaving of skin growth1275
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002777NYMDBehavioral Analyst
N002777-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery CurrentSince Jan 1, 1992 Accepting new patients
Podiatry Services of Central New York P C Foot & Ankle Surgery CurrentSince Jan 1, 1992 Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Podiatry Services of Central New York, PC Past Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Orthotics Partners Plus LLC PastSince Oct 12, 2015 Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients
Podiatry Services of Central New York, PC Foot & Ankle Surgery Past Accepting new patients

Locations

514 S Bay Rd
Syracuse, NY 13212
Phone (315) 458-1777

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1508843855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BAY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123627",
            "telephone_number": "315-458-1777",
            "fax_number": "315-458-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BAY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123627",
            "telephone_number": "315-458-1777",
            "fax_number": "315-458-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "FREDDIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N002777-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00606657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.