Active NPI
Edwin Leroy Naamon, MD
- Emergency Medicine Physician
- New York, NY
National Provider Identifier
1891899894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 152784
- Practice address
- 622 W 168 Street
PH 1137 Columbia University Med Center
New York, NY 10032-3784 - Phone
- (212) 305-2995
- Fax
- (212) 305-6792
- NPI assigned
- Sep 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 152784 | NY | Primary |
Addresses
Primary practice location
622 W 168 Street
PH 1137 Columbia University Med Center
New York, NY 10032-3784
Mailing address
622 W 168TH St
PH 1-137 Associates W Emergency Services Cumc
New York, NY 10032-3720
Phone (212) 305-2995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01355173 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1891899894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"address_2": "PH 1-137 ASSOCIATES W EMERGENCY SERVICES CUMC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-2995",
"fax_number": "212-305-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168 STREET",
"address_2": "PH 1137 COLUMBIA UNIVERSITY MED CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323784",
"telephone_number": "212-305-2995",
"fax_number": "212-305-6792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAAMON",
"first_name": "EDWIN",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "152784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01355173",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.