Paul R Edelman OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PAUL R EDELMAN OD PC

Practice address

906 South St
Peekskill, NY 10566-3458

Phone

(914) 737-3130

Fax

(914) 737-5033

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Edelman, O.D.

Title

Owner

Phone

(914) 737-3130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1568620193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 SOUTH ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663458",
            "telephone_number": "914-737-3130",
            "fax_number": "914-737-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SOUTH ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663458",
            "telephone_number": "914-737-3130",
            "fax_number": "914-737-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R EDELMAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-737-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Panten-Licker, M.D.
• James R Pappas, RN-BC
• Colin Richard Park, ATC
• Jillian Marie Parke, MS, OTR/L
• Frank Richard Pastore, M.D.
• Alexis Pedroso, CASAC-T
• Peekskill Chemists LLC
• Peekskill City School District
• Peekskill City School District
• Peekskill Community Volunteer Ambulance Corp

• Optometrist in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.