Active NPI
David M Elbaum, DO
- Cardiovascular Disease Physician
- Berlin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MB03351700
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0500861000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 6847111 | Other | NJ | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3639 | AZ | MD | School Psychologist |
| 200056 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Cardiovascular Associates PA | Cardiovascular Disease | Current | Accepting new patients |
| New Jersey Heart, Inc. | Cardiovascular Disease | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Sicklerville, NJ
- NPI 1063556702
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Cardiovascular Disease Physician
- Sewell, NJ
- NPI 1659662732
-
- Cardiovascular Disease Physician
- Bala Cynwyd, PA
- NPI 1770639569
-
dba Advocare Heritage Family Medicine
- Family Medicine Physician
- Moorestown, NJ
- NPI 1053589515
-
- Neurology Physician
- Cherry Hill, NJ
- NPI 1205883782
-
dba Southampton Medical Associates
- General Practice Physician
- Southampton, PA
- NPI 1528254810
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.