Individual provider Active NPI

Luke McBride Edwards

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1831693613
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
333675 Issued in NY
Practice address
660 Louisiana Ave
Brooklyn, NY 11239-1526
Phone
(516) 515-0017
NPI assigned
Mar 19, 2018
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 333675 NY
Surgery Physician 208600000X 285867 MA
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 333675 NY Primary

Addresses

Primary practice location

660 Louisiana Ave
Brooklyn, NY 11239-1526

Mailing address

PO Box 2034
New Hyde Park, NY 11040-8034

Other practice location 1

27005 76th Ave
New Hyde Park, NY 11040-1402
Phone (516) 562-2461

Other practice location 2

736 Cambridge St
Surgery Dept. CMP 2, room 2041
Brighton, MA 02135-2907
Phone (617) 789-2990

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303002611 NY Practitioner - General PracticePractitioner - General Surgery 7214349752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of Ny PLLCGroup PAC ID 0446410435, 35 clinicians

Practice addresses (Care Compare)

1045 W St
Carthage, NY 13619-9762
Phone (315) 493-3220

1540 Tomlinson Ave
Bronx, NY 10461-1527
Phone (718) 892-6600

170 Warren St
Glens Falls, NY 12801-4525
Phone (518) 793-5163

331 Russell St
Carthage, NY 13619-9762
Phone (315) 493-3220

40 Park St
Norwich, NY 13815-1556
Phone (607) 334-9931

4573 State Route 40
Argyle, NY 12809-3474
Phone (518) 638-8274

50 Main St
White Plains, NY 10606-1901
Phone (954) 213-6251

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1238
Removal of skin lesions22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
285867MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Ny, PLLC General Practice CurrentSince Aug 4, 2025 Accepting new patients
Integrated Wound Care New York Medical PLLC General Practice CurrentSince Jan 26, 2025 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

5920 Van Doren St
Flushing, NY 11368
Phone (718) 592-2000

170 Warren St
Glens Falls, NY 12801
Phone (518) 793-5163

50 Main St
White Plains, NY 10606
Phone (914) 682-2137

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1831693613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2034",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110408034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LOUISIANA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391526",
            "telephone_number": "516-515-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27005 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "516-562-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St",
            "address_2": "Surgery Dept. CMP 2, room 2041",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352907",
            "country_code": "US",
            "telephone_number": "617-789-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LUKE",
        "middle_name": "MCBRIDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NY",
            "license": "333675",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "285867",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "333675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.