DR. BRUCE ALLEN EDELMAN (NPI# 1639276009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639276009 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ALLEN EDELMAN |
| Credential | M.D. |
| Practice Address |
557 Cranbury Rd Ste 3 East Brunswick NJ 08816-5419 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 7322380300 |
| Practice Fax Number | 7322384066 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
25MA05620000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4572408 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1543 State Route 27 Ste 21, Somerset, NJ 088734015 | 7328736863 | 7328736853 |
| Street Address |
557 CRANBURY RD STE 3 |
| City | EAST BRUNSWICK |
| State | NJ |
| Zip Code | 08816-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538266903 | Steven Lloyd Sabin | Otolaryngology | 557 Cranbury Rd Ste 3, East Brunswick, NJ 08816-5419 | 2006-09-20 |
| 1295150217 | Kimberly Rethy | Otolaryngology | 557 Cranbury Rd Ste 3, East Brunswick, NJ 08816-5419 | 2014-02-27 |
| 1144408113 | Allison Baile | Audiologist | 557 Cranbury Rd Ste 3, East Brunswick, NJ 08816-5419 | 2008-02-01 |
| 1114122033 | Sara H Axelrod-malagold | Allergy & Immunology | 557 Cranbury Rd Ste 3, East Brunswick, NJ 08816-5419 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1790393247 | Caring Homecare LLC | Home Health | 723 Nj - 18, East Brunswick, NJ 08816 | 2020-07-21 |
| 1710527957 | Sophisticated Ventures LLC | Home Health | 197 Nj-18 South Suite 3000, East Brunswick, NJ 08816 | 2020-01-15 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1083199012 | Kami Ives | Speech-Language Pathologist | 431 Cranbury Rd., East Brunswick, NJ 08816 | 2018-09-25 |
| 1316442460 | Emily Katherine Smith | Physician Assistant | 418 Route 18, East Brunswick, NJ 08816 | 2018-03-29 |
| 1942713649 | Apluscare, LLC | Community/Behavioral Health | 3105 Commons Dr, East Brunswick, NJ 08816 | 2017-11-16 |
| 1093234338 | Larissa Rachel Elk | Occupational Therapist | 11 Mayfair Court, East Brunswick, NJ 08816 | 2017-09-19 |
| Find all providers in zip 08816 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204332 | Jeffrey Ginsburg | Otolaryngology | 51 State Rt 23, Riverdale, NJ 07457-1625 | 2005-09-01 |
| 1063056208 | Stc Pediatrics LLC | Otolaryngology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1457726986 | Pediatric Otolaryngologic Associates | Otolaryngology | 2 S Summit Ave, 2nd Floor, Hackensack, NJ 07601-1117 | 2015-12-09 |
| 1134562143 | Christen Lennon Caloway | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103 | 2013-04-09 |
| 1457675589 | Ryan D Walker | Otolaryngology | 200 Bowman Drive, Suite D-285, Voorhees, NJ 08043 | 2010-03-18 |
| 1033387766 | Michael Y Chee | Otolaryngology | 30 Prospect Ave, Wfan- PC311, Hackensack, NJ 07601 | 2008-02-15 |
| 1669533766 | Diana N Traquina | Otolaryngology | 181 Somerset St, New Brunswick, NJ 08901-1946 | 2006-12-12 |
| 1417030792 | Michael Andrew Tavill | Otolaryngology | 1131 Broad Street, Ste 103, Shrewsbury, NJ 07702 | 2006-10-23 |
| 1174563027 | Joel W Levitt | Otolaryngology | 769 Northfield Ave, Suite Ll2, West Orange, NJ 07052-1198 | 2006-06-08 |
| 1124075460 | Sharyar Daniel Samadi | Otolaryngology | 10 Forest Ave, 100, Paramus, NJ 07652-5242 | 2006-05-30 |
| Find all providers with the same taxonomy | ||||
| City | EAST BRUNSWICK |
| Zip Code | 08816 |
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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.