Active NPI
Erica L. Edmund, FNP
- Family Nurse Practitioner
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336615
- Practice address
- 3101 Ditmars Blvd
Astoria, NY 11105-2304 - Phone
- (866) 389-2727
- NPI assigned
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 336615 | NY | |
| Family Nurse Practitioner | 363LF0000X | 336615 | NY | Primary |
Addresses
Primary practice location
3101 Ditmars Blvd
Astoria, NY 11105-2304
Mailing address
3101 Ditmars Blvd
Astoria, NY 11105-2304
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
107 S Country Rd
Bellport, NY 11713-2523
Phone (866) 389-2727
3101 Ditmars Blvd
Astoria, NY 11105-2304
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
Locations
3101 Ditmars Blvd
Astoria, NY 11105
Phone (718) 545-0128
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
7209 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 533-8434
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1811261605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052304",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMUND",
"first_name": "ERICA",
"middle_name": "L.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "336615",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.