MR. EDWARD A WILLIAMS NURSE PRACTITIONER
NPI 1114252715
Nurse Practitioner - Psychiatric/Mental Health in Woodside, NY
About Mr. Edward A Williams Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD A WILLIAMS NURSE PRACTITIONER (NPI 1114252715) is an individual psychiatric/mental health provider in Woodside, New York, licensed in New York (F401226) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Edward A Williams Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edward Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson Heights, NY 11372
- Reassigned Medicare billing, New York enrollment
- 1,615 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODSIDE, NY 11377
WOODSIDE, NY 11377
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edward Williams's NPI number?
The NPI number for Edward Williams is 1114252715. It was assigned to this individual provider in the NPPES registry on October 15, 2009.
Where is Edward Williams located?
Edward Williams practices at 6110 Queens Blvd 2nd Floor, Woodside, NY 11377. The listed phone number is (718) 397-2002.
What is Edward Williams's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Edward Williams enrolled in Medicare?
Yes. Edward Williams is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edward Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Williams reassigns Medicare benefits to New York City Health And Hospitals Corporation (Jackson Heights, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edward Williams was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Edward A Williams, NURSE PRACTITIONER · NPI 1114252715
Psychiatric/Mental Health physician in Woodside, New York. Individual provider, active in the CMS NPPES registry since October 15, 2009.
## Identity
- **NPI:** 1114252715 (Entity type: Individual)
- **Enumerated:** October 15, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F401226 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6110 QUEENS BLVD, 2ND FLOOR, Woodside, NY 11377-5776
- **Phone:** (718) 397-2002 · **Fax:** (646) 524-8323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York City Health And Hospitals Corporation (NPI 1225765621, Jackson Heights, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114252715) · Data from the CMS NPPES public registry.