Individual provider Active NPI

Edmund Paul Farris Jr., MD

  • Ophthalmology Physician
  • Hawthorne, NY
National Provider Identifier
1881646552
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
193564 Issued in NY
Practice address
24 Saw Mill River Rd Ste 202
Hawthorne, NY 10532-1555
Phone
(914) 345-3937
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 047049 CT
Ophthalmology Physician 207W00000X 193564 NY Primary

Addresses

Primary practice location

24 Saw Mill River Rd Ste 202
Hawthorne, NY 10532-1555

Mailing address

179 Sprain Rd
Scarsdale, NY 10583-1205

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-8051
Phone (860) 679-3540

Other identifiers 1

IdentifierTypeStateIssuer
01728289MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060712000028 NY Practitioner - Ophthalmology 6507879780 Reassigns benefits to 3 organizations
Practice locations: Bronxville, NY; Harrison, NY; New Rochelle, NY; Scarsdale, NY; White Plains, NY; Yonkers, NY
I20240923002298 CT Practitioner - Ophthalmology 6507879780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047049CTMDOphthalmology Physician
193564NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Hudson Valley Eye Associates LLP Ophthalmology CurrentSince Jun 27, 2006 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Mar 1, 2023 Accepting new patients
University of Connecticut Health Center CurrentSince Sep 16, 2024 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Mar 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
University of Connecticut Health Center CurrentSince Sep 16, 2024 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Sight Medical Doctors PLLC Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

65 Kane St
West Hartfrd, CT 06119
Phone (860) 523-6421

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

24 Saw Mill River Rd
Ste 202
Hawthorne, NY 10532
Phone (914) 345-3937

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: efarris81168@direct.med.uchc.edu

Organizations & group practices 9

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1881646552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 SPRAIN RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831205",
            "fax_number": "914-693-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SAW MILL RIVER RD STE 202",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321555",
            "telephone_number": "914-345-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060308051",
            "country_code": "US",
            "telephone_number": "860-679-3540",
            "fax_number": "860-679-6406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "EDMUND",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "047049",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "193564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.