Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edna Aurelus

Individual provider Psychiatry Physician · NPI 1023302502

Dr. Edna Aurelus is a Nurse Practitioner in Staten Island, New York. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Arizona and New York.

Years since qualifying
8
Licensed in
AZ, NY
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

15 Ebony St
Staten Island, NY 10306-1922
Phone: (480) 427-1430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP4001 (AZ)
Psychiatry Physician Taxonomy 2084P0800X · Licence F40255301 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F3358321 (NY)

Record details

NPI number1023302502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2011
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address15 Ebony St, Staten Island, NY 10306-1922

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Staten Island