Active NPI
Edmund Paul Farris Jr., MD
- Ophthalmology Physician
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 193564
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01728289 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047049 | CT | MD | Ophthalmology Physician |
| 193564 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
| Hudson Valley Eye Associates LLP | Ophthalmology | Current | Accepting new patients |
| Ophthalmic Consultants of Long Island | Ophthalmology | Current | Accepting new patients |
| University of Connecticut Health Center | Current | Accepting new patients | |
| Ophthalmic Consultants of Long Island | Ophthalmology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
| University of Connecticut Health Center | Current | 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
- 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.
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- Ophthalmology Physician
- Hawthorne, NY
- NPI 1386674489
-
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
-
- Ophthalmology Physician
- Rockville Centre, NY
- NPI 1285675660
-
- Ophthalmology Physician
- Stony Brook, NY
- NPI 1245271600
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Durable Medical Equipment & Medical Supplies
- Johnson City, NY
- NPI 1730040700
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.