Active NPI
Henry E Edwards, M.D. PSYCHIATRIST
- Psychiatry Physician
- Syosset, NY
National Provider Identifier
1881701845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 209985
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3189161 | Other | NY | GHI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 209985 | NY | MD | Psychiatry 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.