BRIDGET A EDELMAN (NPI# 1184165961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184165961 |
Entity Type | Individual |
Full Name | BRIDGET A EDELMAN |
Credential | CPED, CFTS |
Practice Address |
514 S Bay Rd North Syracuse NY 13212-3627 |
Mailing Address |
110-114 North Main Street Cortland NY 13045 |
Practice Telephone | 3154581777 |
Practice Fax Number | 3154589661 |
Mailing Telephone | 6077568831 |
Mailing Fax Number | 6077568888 |
Enumeration Date | 2017-03-14 |
Last Update Date | 2017-03-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224L00000X | Pedorthist | CPED3874 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
514 S BAY RD |
City | NORTH SYRACUSE |
State | NY |
Zip Code | 13212-3627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508843855 | Freddie L Edelman | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2005-12-28 |
1992188759 | Brittany Charmaine Sumpter | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2015-06-29 |
1134508898 | Podiatry Services of Central New York, PC | Durable Medical Equipment & Medical Supplies | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2015-05-27 |
1154769628 | Hossain Mohammed Rouf | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2013-06-06 |
1851435770 | Podiatry Services of Central New York P C | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2007-02-16 |
1548247802 | Mark Hill | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2005-12-28 |
1295712552 | Justin Beabes | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2005-12-28 |
1669459830 | Mark S Post | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2005-12-28 |
1659358828 | Karen A Stanley | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2005-12-28 |
1558348730 | Eric E Edelman | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2005-12-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750845749 | Branches of Growth Mental Health Counseling, Pllc | Counselor | 3709 Brewerton Rd, Syracruse, NY 13212 | 2019-01-24 |
1821574070 | Nadia Marie James | Licensed Practical Nurse | 7175 Rose Wood Circle, North Syracuse, NY 13212 | 2018-07-11 |
1306364534 | Shonna Jolene Brodhead | Social Worker | Brightpath Counseling, 7266 Buckley Road, North Syracuse, NY 13212 | 2017-09-08 |
1477915189 | Karen Filapello | Speech-Language Pathologist | 320 Gateway Park Drive, @ Precision Contractors, N. Syracuse, NY 13212 | 2016-03-22 |
1285017095 | Lacey Foster | Skilled Nursing Facility | 5991 East Taft Rd, North Syracuse, NY 13212 | 2015-06-30 |
1346500345 | Wahienhawi Hall | Counselor | 7266 Buckley Rd., Bright Path Counseling Center, North Syracuse, NY 13212 | 2012-05-23 |
1316253768 | Jenny Barnum | Nurse Practitioner | 5232 Witz Dr, North Syracuse, NY 13212 | 2010-08-24 |
1063738797 | Gregory 'greg' Procopio | Registered Nurse | 308 Charlane Parkway, North Syracuse, NY 13212 | 2010-04-20 |
1316142243 | Carrie Marie Vincent | Specialist | 401north Main Street, North Syracuse, NY 13212 | 2007-06-20 |
1245307594 | Lynda Robin Kreitzer | Podiatrist | 316 South Main Street, North Syracuse, NY 13212 | 2006-11-30 |
Find all providers in zip 13212 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043751514 | Young Song | Pedorthist | 14431 41st Ave Ste L6, Flushing, NY 11355-1452 | 2017-03-16 |
1811345101 | Bisyata Dishmaya Management Services Inc | Pedorthist | 910 46th Street, Brooklyn, NY 11219 | 2016-05-27 |
1114352531 | Joseph Anthony Coletta | Pedorthist | 435a Albany Shaker Rd, Loudonville, NY 12211-1815 | 2013-09-04 |
1851543284 | Neptune Medical & Surgical Supply, Inc. | Pedorthist | 1048-1050 Oceanview Ave, Neptune Medical & Surgical Supply, Inc., Brooklyn, NY 11235-5441 | 2008-10-16 |
1609935527 | David Charles Cardillo | Pedorthist | 3385 Brighton Henrietta Town Line Rd., Rochester, NY 14623-2813 | 2006-12-06 |
1629089016 | Dme Certified Supplies, Inc. | Pedorthist | 4621 7th Avenue, Brooklyn, NY 11220-6520 | 2006-08-10 |
1699372409 | Netanel Shimonov | Pedorthist | 1353 45th St, Brooklyn, NY 11219-2102 | 2020-10-05 |
1912519406 | Betzalel Shimonov | Pedorthist | 1353 45th St, Brooklyn, NY 11219-2102 | 2020-08-18 |
1295365120 | Scott R Walters | Pedorthist | 3385 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2813 | 2020-01-20 |
1194286963 | Stuart Mandel | Pedorthist | 2905 Veterans Memorial Hwy Ste 2, Ronkonkoma, NY 11779-7655 | 2019-03-26 |
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City | NORTH SYRACUSE |
Zip Code | 13212 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.