Richard Craig Edelson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00585800 Issued in NJ

Practice address

180 Franklin Tpke
Mahwah, NJ 07430-1306

Phone

(201) 828-9290

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elmsford Chiropractic PLLCGroup PAC ID 1951480193, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elmsford Chiropractic PLLC

  • Chiropractor
  • Elmsford, NY
  • NPI 1053443754
  Medicare reassignment Care Compare group
• Mahwah Health Services

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1629488127
  NPD
• Mahwah Health Services, LLC

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1851445068
  NPD
• Essex Physical Therapy,LLC

  • Physical Therapy Clinic/Center
  • West Orange, NJ
  • NPI 1508958687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033200480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 THISTLE LN",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333407",
            "telephone_number": "845-440-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FRANKLIN TPKE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301306",
            "telephone_number": "201-828-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSON",
        "first_name": "RICHARD",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00585800",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009035-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Doring
• Dr. D. Psychiatric Associates, PC
• Dr. Naomi Ambalu, LLC
• Dynamic Health Partners PC
• East River Medical Associates of New Jersey PC
• Aya Elganzouri, BCBA, MA
• Andrew Eng
• Erica Trestyn, LCSW LLC
• Danielle Facey
• Family Chiropractic Center of Mahwah

• Chiropractor in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.