Perrin D Edwards, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N002903 Issued in NY

Practice address

751 Warren St
Hudson, NY 12534-3016

Phone

(518) 828-6516

Fax

(518) 828-9510

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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.

• Foot Specialist Associates P.C.

  • Foot & Ankle Surgery Podiatrist
  • Hudson, NY
  • NPI 1881854966
  NPD (past) Authorized official
• Foot Specialist Assoc. PC

  • Foot & Ankle Surgery Podiatrist
  • Albany, NY
  • NPI 1184810814
  NPD (past)
• Hudson Park Medicine PC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1568127991
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1942265061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 WARREN ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343016",
            "telephone_number": "518-828-6516",
            "fax_number": "518-828-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 WARREN ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343016",
            "telephone_number": "518-828-6516",
            "fax_number": "518-828-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PERRIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002903",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P00001158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "32791",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00558943",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10000555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480007799",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "13721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P32002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "000405556002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "6202091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Alfred Downing, M.S.
• Caroline Joyce Dumoulin, PHARM.D.
• Dynamic Orthopedic Laboratory
• Eastgate Acupuncture P.C.
• Maryellen Eaton, RPH
• Milton Ehrlich, OD
• Elliott Acupuncture PC
• Andrea Lea Elliott, LAC
• Lauren Elizabeth Emery, REGISTERED NURSE
• Karuvath Enu, MD

• Podiatrist in Hudson, NY
• Providers in Hudson, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.