Health Edge Medical Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

247597 Issued in NY

Legal business name

HEALTH EDGE MEDICAL CARE PLLC

Practice address

504 Medford Ave
Patchogue, NY 11772-1321

Phone

(631) 475-4646

Fax

(631) 447-5234

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Ferdousi Shilpee, M.D.NPI 1861666877

Title

M.D/Owner

Phone

(631) 475-4646

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ferdousi Begum Shilpee, MD

  • Internal Medicine Physician
  • Patchogue, NY
  • NPI 1861666877
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1821403387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721321",
            "telephone_number": "631-475-4646",
            "fax_number": "631-447-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MEDFORD AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721321",
            "telephone_number": "631-475-4646",
            "fax_number": "631-447-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EDGE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SHILPEE",
        "authorized_official_first_name": "FERDOUSI",
        "authorized_official_title_or_position": "M.D/OWNER",
        "authorized_official_telephone_number": "631-475-4646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "247597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Hathaway
• Lori Janine Haus Bulcock, S.L.P.
• Anne Hawkins, RD
• Eileen M. Hazell, ANP
• Jianying He, DDS
• Caroline Hehir
• Alyson N Heimann
• Joshua Hendrickson, LMSW
• Michelle Hennemeier, L.AC,L.M.T
• Kathleen Henning, P.T.

• Internal Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.