MR. OWEN WASHINGTON EDWARDS JR. MD - NPI 1154178796 - Registered Nurse in Brooklyn, NY

Q: What is Owen Edwards's NPI number?

The NPI number for Owen Edwards is 1154178796. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Q: What is Owen Edwards's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Owen Edwards was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

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About Mr. Owen Washington Edwards Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OWEN WASHINGTON EDWARDS JR. MD (NPI 1154178796) is an individual registered nurse in Brooklyn, New York, licensed in New York (594922-01) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154178796

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameMR. OWEN WASHINGTON EDWARDS JR.Credential: MD

Location Address450 CLARKSON AVE # 67Brooklyn, NY 11203-2012

Mailing Address463 Boyle Rd # 463Selden, NY 11784-1237 · (631) 747-2935

Phone(718) 270-1000

Sole ProprietorNo

Enumeration DateMay 1, 2024

Last NPPES UpdateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1154178796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NY · 594922-01

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

450 CLARKSON AVE # 67, Brooklyn, NY 11203

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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. Owen Washington Edwards Jr. Md 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL YUDELL DO

Student in an Organized Health Care Education/Training Program