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MR. EDWARD A WILLIAMS NURSE PRACTITIONER
NPI 1114252715
Nurse Practitioner - Psychiatric/Mental Health in Woodside, NY

Active since October 15, 2009PECOS Enrolled
6110 QUEENS BLVD, 2ND FLOOR, WOODSIDE, NY 11377(718) 397-2002(646) 524-8323 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2026, Sep 12, 2025 (2 updates tracked since 2025).

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

NPI1114252715
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. EDWARD A WILLIAMSCredential: NURSE PRACTITIONER
Location Address6110 QUEENS BLVD, 2ND FLOORWoodside, NY 11377-5776
Mailing Address123 Mermaid Ln Unit 242Bronx, NY 10473-2499 · (718) 684-1832
Phone(718) 397-2002
Fax(646) 524-8323
Sole ProprietorYes
Enumeration DateOctober 15, 2009
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1114252715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F401226
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 576387 (NY)
6110 QUEENS BLVD, Woodside, NY 11377
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARINA NIYAZOVA
Pharmacist
6110 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 606-0422
EILEEN MILLER RN-ANP
Registered Nurse (Home Health)
6110 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 397-2002
MRS. EVELYN BROBBEY GNP
Nurse Practitioner (Psychiatric/Mental Health)
6110 QUEENS BLVD, 2ND FLOOR
WOODSIDE, NY 11377
Queens County (212) 609-4011
BIG SIX PHARMACY
Pharmacy
6110 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 606-0422
MS. LESLIE ALLISON ROTTENBERG LCSW
Social Worker (Clinical)
6110 QUEENS BLVD, ESPRIT MEDICAL CARE
WOODSIDE, NY 11377
Queens County (212) 609-4011
BIG SIX HEALTH INC
Pharmacy (Community/Retail Pharmacy)
6110 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 606-0422
DONNA E MCCABE
Nurse Practitioner (Gerontology)
6110 QUEENS BLVD, 2ND FLOOR
WOODSIDE, NY 11377
Queens County (212) 609-1745
CINITA CYRIAC PHARMD
Pharmacist
6110 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 606-0422

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.

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 7 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.