ROBERT A EDELMAN MD
NPI 1649233578
Urology in Garden City, NY

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
601 FRANKLIN AVE, SUITE 300, GARDEN CITY, NY 11530(516) 742-3200(516) 746-5847 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert A Edelman Md NPPES

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

ROBERT A EDELMAN MD (NPI 1649233578) is an individual urology provider in Garden City, New York, licensed in New York (124044) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of State University Of New York At Buffalo School Of Medicine (1974).

NPPES Registry Identity

NPI1649233578
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameROBERT A EDELMANCredential: MD
Location Address601 FRANKLIN AVE, SUITE 300Garden City, NY 11530-5795
Mailing Address2800 Marcus AveNew Hyde Park, NY 11042-1113 · (516) 622-6196 · Fax (516) 608-2889
Fax(516) 746-5847
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1974
Enumeration DateApril 11, 2006
Last NPPES UpdateAugust 5, 2015
NPI 1649233578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 124044
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
601 FRANKLIN AVE, Garden City, NY 11530

Other Identifiers 1

Medicare UPIND38967

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert A Edelman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355330580
PECOS Enrollment IDI20040511001386
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.

Areas of Expertise CMS Part B claims 36

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
15,251 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,252 services883 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
957 services754 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
910 services753 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
822 services669 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
267 services212 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers40 claims5,278 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers69 claims10,590 services$1.40 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers75 claims10,618 services$6.14 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers13 claims42 services$6.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Specialist
601 FRANKLIN AVE, SUITE 215
GARDEN CITY, NY 11530
Specialist/Technologist (Athletic Trainer)
601 FRANKLIN AVE, SUITE 300
GARDEN CITY, NY 11530
Dentist (Oral and Maxillofacial Surgery)
601 FRANKLIN AVE
GARDEN CITY, NY 11530
Urology
601 FRANKLIN AVE, SUITE 300
GARDEN CITY, NY 11530
Dentist (Endodontics)
601 FRANKLIN AVE, SUITE 210
GARDEN CITY, NY 11530
Urology
601 FRANKLIN AVE, SUITE 300
GARDEN CITY, NY 11530
Psychologist (Clinical)
601 FRANKLIN AVE
GARDEN CITY, NY 11530
Physical Therapist
601 FRANKLIN AVE
GARDEN CITY, NY 11530

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 Robert Edelman's NPI number?

The NPI number for Robert Edelman is 1649233578. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Robert Edelman located?

Robert Edelman practices at 601 Franklin Ave Suite 300, Garden City, NY 11530. The listed phone number is (516) 742-3200.

What is Robert Edelman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Robert Edelman enrolled in Medicare?

Yes. Robert Edelman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Robert Edelman affiliated with any hospitals?

According to CMS data, Robert Edelman is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Robert Edelman was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.