Individual provider Active NPI

Edwin Cueva, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1952319261
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
234903 Issued in NY
Practice address
629 W 185TH St
New York, NY 10033-3102
Phone
(212) 543-3500
Fax
(212) 568-0051
NPI assigned
Aug 3, 2006
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 234903 NY Primary

Addresses

Primary practice location

629 W 185TH St
New York, NY 10033-3102

Mailing address

629 W 185TH St
New York, NY 10033-3102
Phone (212) 543-3500

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050226000035 NY Practitioner - Psychiatry 3870546146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fernando Taveras, MD PCGroup PAC ID 7416930078, 6 clinicians

Practice addresses (Care Compare)

629 W 185TH St
Suite 3
New York, NY 10033-3102
Phone (212) 543-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234903NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fernando Taveras, MD PC Psychiatry CurrentSince Jun 1, 2020 Accepting new patients
Bleuler Psychotherapy Center, Inc. CurrentSince Sep 23, 2023 Accepting new patients
Mih Experience LTD Past Accepting new patients

Locations

3764 72nd St
Jackson Hts, NY 11372
Phone (718) 335-3434

629 W 185th St
New York, NY 10033
Phone (212) 543-3500

629 W 185th St
#3
New York, NY 10033
Phone (212) 543-3500

629 W 185th St
Fl 3
New York, NY 10033
Phone (212) 543-3500

629 W 185th St
Ste 301
New York, NY 10033

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1952319261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-543-3500",
            "fax_number": "212-568-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-543-3500",
            "fax_number": "212-568-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVA",
        "first_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "234903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.