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

Edward Fonseca

Individual provider Adult Health Nurse Practitioner · NPI 1801675400

Edward Fonseca is a Nurse Practitioner in Elmhurst, New York. Qualified in 2023, 3 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

4010 Forley St
Elmhurst, NY 11373-1427
Phone: (718) 565-6565
Fax: (718) 565-6999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 311410 (NY)

Record details

NPI number1801675400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address4010 Forley St, Elmhurst, NY 11373-1427

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Elmhurst