Edgemont Orthopaedics, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

169285 Issued in NY

Legal business name

EDGEMONT ORTHOPAEDICS, PC

Practice address

263 7TH Ave Ste 2B
Brooklyn, NY 11215-3693

Phone

(718) 622-6600

NPI assigned

Aug 3, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Meyerson, MD

Title

Director

Phone

(914) 584-2390

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750805453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARTILLERY LN",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831701",
            "telephone_number": "914-584-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 7TH AVE STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153693",
            "telephone_number": "718-622-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEMONT ORTHOPAEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEYERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-584-2390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "169285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "169285",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.