DR. EDWARD LEE HEDAYA M.D.
NPI 1891883997
Specialist in Lakewood, NJ

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
75.42/100
CMS Quality Rating
1 HIGHWAY 70, LAKEWOOD, NJ 08701(732) 905-5600(732) 905-8604 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward Lee Hedaya M.d. NPPES

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

DR. EDWARD LEE HEDAYA M.D. (NPI 1891883997) is an individual specialist in Lakewood, New Jersey, licensed in New Jersey (MA49954) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of New York Medical College (1981).

NPPES Registry Identity

NPI1891883997
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. EDWARD LEE HEDAYACredential: M.D.
Location Address1 HIGHWAY 70Lakewood, NJ 08701-5895
Mailing Address1 Highway 70Lakewood, NJ 08701-5895 · (732) 905-5600 · Fax (732) 905-0611
Fax(732) 905-8604
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1981
Enumeration DateOctober 11, 2006
Last NPPES UpdateMarch 28, 2014
NPI 1891883997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · MA49954
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 HIGHWAY 70, Lakewood, NJ 08701

Other Identifiers 2

Medicare UPINA64763NJ
Medicare ID-Type Unspecified009350NJ

Accepted Insurance

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

Dr. Edward Lee Hedaya M.d. 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 ID8325941008
PECOS Enrollment IDI20100423000643
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 22

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.

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.
632 services438 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
422 services404 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
345 services332 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.
273 services179 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
237 services156 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
186 services127 patients

Hospital Affiliations CMS Care Compare

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

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.

75.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.26
Improvement Activities40
Cost28.38

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier25 claims25 services$52.17 avg. paid by Medicare
Sphere, single vision, plano to plus or minus 4.00, per lens V2100
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier17 claims23 services$43.57 avg. paid by Medicare
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims11 services$37.85 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 3

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

Technician/Technologist (Optician)
1 HIGHWAY 70
LAKEWOOD, NJ 08701
Specialist
1 HIGHWAY 70
LAKEWOOD, NJ 08701
Optometrist
1 HIGHWAY 70
LAKEWOOD, NJ 08701

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 Hedaya's NPI number?

The NPI number for Edward Hedaya is 1891883997. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Edward Hedaya located?

Edward Hedaya practices at 1 Highway 70, Lakewood, NJ 08701. The listed phone number is (732) 905-5600.

What is Edward Hedaya's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Edward Hedaya enrolled in Medicare?

Yes. Edward Hedaya 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.

What insurance does Edward Hedaya accept?

Health plans from Providence Health Plan list Edward Hedaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Hedaya affiliated with any hospitals?

According to CMS data, Edward Hedaya is affiliated with Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Hedaya was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.