Active NPI
Albert Edano Edano, MD
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1720146699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 198162-1
- Practice address
- 1963 Rockaway Pkwy
Brooklyn, NY 11236-5505 - Phone
- (718) 241-1513
- Fax
- (718) 241-1513
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 198162-1 | NY | Primary |
Addresses
Primary practice location
1963 Rockaway Pkwy
Brooklyn, NY 11236-5505
Mailing address
741 Turf Rd
Valley Stream, NY 11581-3505
Phone (516) 792-0789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01591400 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198162-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert E Edano MD PC | Internal Medicine | Past | Accepting new patients |
| Medical Network Services PC | Internal Medicine | Past | Accepting new patients |
| Lich Faculty Practice | Past | Accepting new patients | |
| Family Physicians at Lich | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Internal Medicine Physician
- Brooklyn, NY
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- Infectious Disease Physician
- Brooklyn, NY
- NPI 1174707822
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1871507731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1720146699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 TURF RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813505",
"telephone_number": "516-792-0789",
"fax_number": "516-792-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1963 ROCKAWAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365505",
"telephone_number": "718-241-1513",
"fax_number": "718-241-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDANO",
"first_name": "ALBERT",
"middle_name": "EDANO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "198162-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01591400",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.