Individual provider Active NPI

Linda J Edwards, MD

  • Obstetrics & Gynecology Physician
  • Delran, NJ
National Provider Identifier
1114073269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA04974700 Issued in NJ
Practice address
5045 Route 130 South
Suite I
Delran, NJ 08088
Phone
(856) 764-7660
Fax
(856) 764-5723
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA04974700 NJ Primary

Addresses

Primary practice location

5045 Route 130 South
Suite I
Delran, NJ 08088

Mailing address

2 Ridge CT
Medford, NJ 08055-9700
Phone (609) 268-3011

Other identifiers 1

IdentifierTypeStateIssuer
5335507MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04974700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance OB GYN Consultants LLC Obstetrics & Gynecology PastSince May 23, 2018 Accepting new patients
Alliance Surgery Center Past Accepting new patients
Regional Women's Health Group, LLC Obstetrics & Gynecology Past Accepting new patients
Integrity Anesthesia Group, PC Past Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114073269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIDGE CT",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559700",
            "telephone_number": "609-268-3011",
            "fax_number": "856-164-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 ROUTE 130 SOUTH",
            "address_2": "SUITE I",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "08088",
            "telephone_number": "856-764-7660",
            "fax_number": "856-764-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LINDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04974700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5335507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.