Active NPI
Sadrac Edouard
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1912428921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 808700-01
- Practice address
- 498 East 94TH St
Brooklyn, NY 11212 - Phone
- (347) 858-0457
- NPI assigned
- Jun 29, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 808700-01 | NY | Primary |
| Licensed Practical Nurse | 164W00000X | 328137-01 | NY |
Addresses
Primary practice location
498 East 94TH St
Brooklyn, NY 11212
Mailing address
498 E 94TH St
Brooklyn, NY 11212-1644
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 808700-01 | NY | MD | Registered Nurse |
| 328137-01 | NY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1912428921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 E 94TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112121644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 EAST 94TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "347-858-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDOUARD",
"first_name": "SADRAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "808700-01",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "328137-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.