Individual provider Active NPI

Henry E Edwards, M.D. PSYCHIATRIST

  • Psychiatry Physician
  • Syosset, NY
National Provider Identifier
1881701845
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
209985 Issued in NY
Practice address
6800 Jericho Tpke
Ste 122W
Syosset, NY 11791-4445
Phone
(516) 498-9461
Fax
(718) 352-2590
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 209985 NY Primary

Addresses

Primary practice location

6800 Jericho Tpke
Ste 122W
Syosset, NY 11791-4445

Mailing address

684 S Mountain Rd
New City, NY 10956-5724
Phone (516) 498-9461

Other identifiers 1

IdentifierTypeStateIssuer
3189161OtherNYGHI

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
I20110204000076 NY Practitioner - Psychiatry 1153515952 Practice locations: Nyack, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

138 Highmount Ave
Nyack, NY 10960-1509
Phone (516) 498-9461

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209985NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1881701845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 S MOUNTAIN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565724",
            "telephone_number": "516-498-9461",
            "fax_number": "718-352-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE",
            "address_2": "STE 122W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914445",
            "telephone_number": "516-498-9461",
            "fax_number": "718-352-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "HENRY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.D. PSYCHIATRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "209985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3189161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.