Cheryl Edelstein

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

290 Norwood Ave
Port Jefferson Station, NY 11776-2562

Phone

(631) 474-8100

NPI assigned

Jun 21, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1619497641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 EVANS RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NORWOOD AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762562",
            "telephone_number": "631-474-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9777 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113743335",
            "country_code": "US",
            "telephone_number": "718-830-9274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Welby Dupre
• Kristen Ann Durkin, RN, ANP
• Pallavi Aishwarya Duvvuri
• Brian Dwyer, P.T.
• East End Hearing and Speech
• Jenna Edlin, PA-C
• Edward J Moylan OD PC
• Laura Edwards
• Sheri Renee Anna Egert, OTR/L
• Luis J Ehrman Sr., ANP-C

• Specialist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.