Individual provider Active NPI

Amy Leigh Edelstein, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • New Hyde Park, NY
National Provider Identifier
1841600905
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
293488 Issued in NY
Practice address
27111 76TH Ave
New Hyde Park, NY 11040-1423
Phone
(718) 289-2100
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 293488 NY Primary

Addresses

Primary practice location

27111 76TH Ave
New Hyde Park, NY 11040-1423

Mailing address

932 130TH St
College Point, NY 11356-1912
Phone (516) 581-5699

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
I20180823000917 NY Practitioner - Geriatric Medicine 6709135817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nyc-Metro Physician Services PCGroup PAC ID 3375807571, 3 clinicians

Practice addresses (Care Compare)

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince May 12, 2025 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince May 12, 2025 Accepting new patients
Nyc-Metro Physician Services PC CurrentSince May 12, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 23, 2018 Accepting new patients
Project Renewal Inc CurrentSince Apr 1, 2020 Accepting new patients
Project Renewal Inc CurrentSince Apr 1, 2020 Accepting new patients

Locations

225 E 45th St
New York, NY 10017
Phone (212) 661-8934

200 Varick St
Fl 9
New York, NY 10014
Phone (212) 620-0340

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

300 Community Dr
Plandome, NY 11030

755 N Broadway
Ste 100
Sleepy Hollow, NY 10591
Phone (914) 366-3677

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCFBD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1841600905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 130TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561912",
            "telephone_number": "516-581-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401423",
            "telephone_number": "718-289-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "AMY",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "293488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.