Luwella Martina Edmonds, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012778 Issued in NY

Practice address

1790 Broadway Ste 1802
New York, NY 10019-1471

Phone

(212) 530-0624

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Rite Medical Care PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1619599578
  Medicare reassignment
• One Medical of Ny, P.C.

  • Family Medicine Physician
  • New York, NY
  • NPI 1861709487
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932255155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUTTER ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044009",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 BROADWAY STE 1802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191471",
            "telephone_number": "212-530-0624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 Crompond Rd",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "105674144",
            "country_code": "US",
            "telephone_number": "914-737-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "LUWELLA",
        "middle_name": "MARTINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Edminster, LCSW
• Sarah Edmond, BCBA
• Alice Brown Edmonds, CPNP-AC
• Chris R Edmonds, MD
• Kenya Edmonds
• Nancy Elizabeth Edmonds, NP
• Philicia Edmonds
• Daniel Edmonston
• Shawn Edmontson, CASAC-T
• Edmot Professional Services

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.