DR. DAVID M ELBAUM (NPI# 1124053681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124053681 |
| Entity Type | Individual |
| Full Name | DR. DAVID M ELBAUM |
| Credential | DO |
| Practice Address |
175 Cross Keys Rd 300a Berlin NJ 08009-9263 |
| Mailing Address |
115 Summit Ln Bala Cynwyd PA 19004-2918 |
| Practice Telephone | 8567670077 |
| Practice Fax Number | 8567676102 |
| Mailing Telephone | 6106641465 |
| Mailing Fax Number | 6106641466 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
200056 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3639 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MB03351700 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS003661L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0500861000 | 01 |
| NJ | AETNA | 6847111 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982777835 | David J Elbaum | Specialist | 2323 16th St, Suite #204, Bakersfield, CA 93301-3420 | 2006-11-16 |
| Street Address |
175 CROSS KEYS RD 300A |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-9263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002765 | Michael A Hassman | Family Medicine | 175 Cross Keys Rd, 300a, Berlin, NJ 08009-9263 | 2005-06-09 |
| 1710423843 | Krista R Hill | Physician Assistant | 175 Cross Keys Rd, Suite 300b, Berlin, NJ 08009-9263 | 2017-01-12 |
| 1255787198 | Marlee Frankel | Physician Assistant | 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009-9263 | 2016-05-10 |
| 1336518778 | Russell Little | Nurse Practitioner | 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 | 2015-09-16 |
| 1194116525 | Kurudi LLC | Dentist | 175 Cross Keys Rd, Suite 103, Berlin, NJ 08009-9263 | 2015-02-06 |
| 1891199188 | Elissa Hassman | Ophthalmology | 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 | 2014-10-15 |
| 1053657668 | Chelsey A Mahon | Physician Assistant | 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009-9263 | 2012-12-31 |
| 1861773731 | Melissa Wright | Counselor | 175 Cross Keys Rd, Suite B101, Berlin, NJ 08009-9263 | 2011-09-06 |
| 1164716775 | Robin Leigh Deiner | Counselor | 175 Cross Keys Rd, Suite B-101, Berlin, NJ 08009-9263 | 2011-06-01 |
| 1649562042 | Advocare, LLC | Internal Medicine | 175 Cross Keys Rd, Bldg. 300 A, Berlin, NJ 08009-9263 | 2011-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
| Find all providers in zip 08009 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598824658 | Saadat U Khan Md Pa | Internal Medicine | 213 High St, Saadat U Khan Md Prof Assn, Berlin, NH 03570 | 2006-12-06 |
| 1053936906 | Tidalhealth Specialty Care, LLC | Internal Medicine | 314 Franklin Ave Ste 301, Berlin, MD 21811-1238 | 2020-06-16 |
| 1649562042 | Advocare, LLC | Internal Medicine | 175 Cross Keys Rd, Bldg. 300 A, Berlin, NJ 08009-9263 | 2011-05-04 |
| 1639474877 | Stellar Medical Group | Internal Medicine | 175 Cross Keys Rd, Suite 101a, Berlin, NJ 08009-9263 | 2011-01-19 |
| 1316171671 | Berlin Medical Assco | Internal Medicine | 175 Cross Keys Rd, 300a, Berlin, NJ 08009-9263 | 2009-05-14 |
| 1295998094 | Stefan Lischke | Internal Medicine | 130 Fisher Rd, Mob-a, Suite 2-1, Berlin, VT 05602-9516 | 2008-07-02 |
| 1093877730 | Joachim Georg Mueller | Internal Medicine | 130 Fisher Rd, Cardiology Mob-a Suite 2-1, Berlin, VT 05602-9516 | 2006-12-15 |
| 1790704401 | Mark Robert Heitzman | Internal Medicine | 130 Fisher Rd, Mob-a Suite 2-1, Berlin, VT 05602-9516 | 2006-07-19 |
| 1386663094 | Gregory J Macdonald | Internal Medicine | 130 Fisher Rd, Mob- A Suite 2-1, Berlin, VT 05602-9516 | 2006-07-19 |
| 1376562074 | Michael G. Hayes | Internal Medicine | 130 Fisher Rd, Mob-a Suite 2-1, Berlin, VT 05602-9516 | 2006-07-19 |
| Find all providers in BERLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.