Individual provider Active NPI

Madeline Shira Edelstein

  • Speech-Language Pathologist
  • Rochester, NY
National Provider Identifier
1679202394
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
033392 Issued in NY
Practice address
3399 Winton Rd S
Rochester, NY 14623-3057
Phone
(585) 334-6000
Fax
(585) 334-2858
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 033392 NY Primary

Addresses

Primary practice location

3399 Winton Rd S
Rochester, NY 14623-3057

Mailing address

3399 Winton Rd S
Rochester, NY 14623-3057
Phone (585) 334-6000

Other practice location 1

50 Science Pkwy
Rochester, NY 14620-4264
Phone (585) 334-6000 ext. 1045

Other names 1

  • Madeline Shira Rosenbaum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016002179 NY Practitioner - Qualified Speech Language Pathologist 6608221353 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033392NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes United Cerebral Palsy, Inc. CurrentSince Sep 13, 2023 Accepting new patients
United Cerebral Palsy Association of the Rochester Area, Inc. CurrentSince Sep 13, 2023 Accepting new patients

Locations

5415 N Bloomfield Rd
Canandaigua, NY 14424
Phone (585) 394-1190

731 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-6828

3399 Winton Rd S
Rochester, NY 14623

50 Science Pkwy
Rochester, NY 14620
Phone 5853346000 ext. 1045

860 Hard Rd
Webster, NY 14580
Phone (585) 347-1600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1679202394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233057",
            "telephone_number": "585-334-6000",
            "fax_number": "585-334-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233057",
            "telephone_number": "585-334-6000",
            "fax_number": "585-334-2858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Science Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146204264",
            "country_code": "US",
            "telephone_number": "585-334-6000 x1045",
            "fax_number": "585-334-2858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "MADELINE",
        "middle_name": "SHIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "033392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "ROSENBAUM",
            "middle_name": "SHIRA",
            "credential": "MS, SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.