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DR. KENNETH L EDELSON M.D.
NPI 1386616852
Dermatology - Procedural Dermatology in New York, NY

Active since February 07, 2006PECOS Enrolled
112 E 84TH ST, #1B, NEW YORK, NY 10028(212) 744-4800(212) 744-4808 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth L Edelson M.d. NPPES

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

DR. KENNETH L EDELSON M.D. (NPI 1386616852) is an individual procedural dermatology provider in New York, New York, licensed in New York (116745) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386616852
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameDR. KENNETH L EDELSONCredential: M.D.
Location Address112 E 84TH ST, #1BNew York, NY 10028-0901
Mailing Address112 E 84th St, #1bNew York, NY 10028-0901 · (212) 744-4800 · Fax (212) 744-4808
Phone(212) 744-4800
Fax(212) 744-4808
Sole ProprietorYes
Enumeration DateFebruary 7, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1386616852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NY · 116745
Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Also ListedDermatologyTaxonomy 207N00000X · License 116745 (NY)
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License 116745 (NY)
112 E 84TH ST, New York, NY 10028
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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)

Dr. Kenneth L Edelson M.d. 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 10028 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kenneth Edelson's NPI number?

The NPI number for Kenneth Edelson is 1386616852. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Kenneth Edelson located?

Kenneth Edelson practices at 112 E 84th St #1b, New York, NY 10028. The listed phone number is (212) 744-4800.

What is Kenneth Edelson's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Kenneth Edelson enrolled in Medicare?

Yes. Kenneth Edelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Edelson was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.