Ralph Edouard, ANP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F305341-1 Issued in NY

Practice address

19105 Jamaica Ave
Hollis, NY 11423-2527

Phone

(917) 907-1455

NPI assigned

May 27, 2011

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personal Care NP Adult Health Practice PLLC

  • Primary Care Clinic/Center
  • Hollis, NY
  • NPI 1063871523
  Medicare reassignment NPD Authorized official
• WB Homecare Adullt& Family Health NP PLLC

  • Nurse Practitioner
  • Uniondale, NY
  • NPI 1073063087
  Medicare reassignment NPD

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1598058224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19105 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232527",
            "telephone_number": "917-907-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19105 JAMAICA AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232527",
            "telephone_number": "917-907-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "RALPH",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F305341-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr Douglas
• Yuliya Dovhanych, RPH
• Dr. Jerome E. Reeves, DPM, PLLC
• Tamara J Durosier
• Benjamin Mark Eberlein, C.N.A
• Charles C. Edwards, M.D.
• Eme Ekpo, R.N.
• Elim Healthcare Services, P.T.P.C.
• Empire City Physical Therapy PLLC
• Bianca Erriah

• Primary Care Nurse Practitioner in Hollis, NY
• Providers in Hollis, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.