Individual provider Active NPI

Lizette Edge, MD

  • Hospitalist Physician
  • Schenectady, NY
National Provider Identifier
1891073169
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
275666 Issued in NY
Practice address
1101 Nott St
Dept: Hospitalist Medicine
Schenectady, NY 12308-2425
Phone
(518) 243-4135
Fax
(518) 243-1367
NPI assigned
Aug 3, 2011
Last updated
Jul 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 275666 NY
Hospitalist Physician 208M00000X 275666 NY Primary

Addresses

Primary practice location

1101 Nott St
Dept: Hospitalist Medicine
Schenectady, NY 12308-2425

Mailing address

600 McClellan St
2 W
Schenectady, NY 12304-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VI2 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
I20141017000496 NY Practitioner - HospitalistPractitioner - Family Practice 2466673348 Reassigns benefits to 4 organizations
I20220606002819 VI Practitioner - Internal Medicine 2466673348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Aug 1, 2014 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 7, 2024 Accepting new patients
Ellis Hospital Family Medicine CurrentSince Apr 22, 2021 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 7, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince May 22, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 1, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince May 22, 2022 Accepting new patients
Ellis Hospital Family Medicine Past Accepting new patients
Healthalliance Hospital Marys Avenue Campus Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

103 Sitterly Rd
Ste 1100
Halfmoon, NY 12065
Phone (518) 579-2555

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
#2W
Schenectady, NY 12304

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: lizette.edge@690163403980804.direct.elationemr.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1891073169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "address_2": "2 W",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "address_2": "DEPT: HOSPITALIST MEDICINE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "LIZETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "275666",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "275666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.