Individual provider Active NPI

David M Elbaum, DO

  • Cardiovascular Disease Physician
  • Berlin, NJ
National Provider Identifier
1124053681
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB03351700 Issued in NJ
Practice address
175 Cross Keys Rd
300A
Berlin, NJ 08009-9263
Phone
(856) 767-0077
Fax
(856) 767-6102
NPI assigned
Jul 12, 2006
Last updated
Jun 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS003661L PA
Cardiovascular Disease Physician 207RC0000X 25MB03351700 NJ Primary
Cardiovascular Disease Physician 207RC0000X 3639 AZ
Cardiovascular Disease Physician 207RC0000X 200056 NY

Addresses

Primary practice location

175 Cross Keys Rd
300A
Berlin, NJ 08009-9263

Mailing address

115 Summit LN
Bala Cynwyd, PA 19004-2918
Phone (610) 664-1465

Other identifiers 2

IdentifierTypeStateIssuer
0500861000OtherPAINDEPENDENCE BLUE CROSS
6847111OtherNJAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000005 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1658318464 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Cardiovascular Associates PAGroup PAC ID 6709982002, 6 clinicians
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

1100 Liberty PL
Sicklerville, NJ 08081-5708
Phone (856) 589-6034

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

175 Cross Keys Rd
Suite 300a
Berlin, NJ 08009-9263
Phone (856) 872-7055

455 Hurffville Crosskeys Rd
Sewell, NJ 08080-2328
Phone (856) 270-6356

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3639AZMDSchool Psychologist
200056NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Cardiovascular Associates PA Cardiovascular Disease CurrentSince Jul 15, 2018 Accepting new patients
New Jersey Heart, Inc. Cardiovascular Disease CurrentSince Mar 20, 2021 Accepting new patients
Advocare , LLC Past Accepting new patients
Community Neurology Associates PC Past Accepting new patients
Berlin Medical Assco Cardiovascular Disease Past Accepting new patients
Berlin Medical Associates - PA Past Accepting new patients

Locations

438 Ganttown Rd
Ste B8
Sewell, NJ 08080
Phone (856) 256-7872

438 Ganttown Rd
Ste B8B9
Sewell, NJ 08080

565 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 256-0600

1100 Liberty Pl
Sicklerville, NJ 08081
Phone (856) 875-3630

1332 W Ritner St
Philadelphia, PA 19148
Phone (215) 755-6143

Interoperability endpoints

  • Direct secure messaging: david.elbaum@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1124053681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUMMIT LN",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042918",
            "telephone_number": "610-664-1465",
            "fax_number": "610-664-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CROSS KEYS RD",
            "address_2": "300A",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099263",
            "telephone_number": "856-767-0077",
            "fax_number": "856-767-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBAUM",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS003661L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB03351700",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "3639",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "200056",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0500861000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6847111",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

Verify at the official NPI Registry.