Individual provider Active NPI

Paula Edelson, M.D.

  • Maternal & Fetal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1194087270
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD456450 Issued in PA
Practice address
800 Walnut St FL 11
Philadelphia, PA 19107-5176
Phone
(215) 829-2345
Fax
(215) 829-3365
NPI assigned
Jun 13, 2012
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 25MA10918600 NJ
Maternal & Fetal Medicine Physician 207VM0101X MD456450 PA Primary

Addresses

Primary practice location

800 Walnut St FL 11
Philadelphia, PA 19107-5176

Mailing address

800 Walnut St FL 11
Philadelphia, PA 19107-5176
Phone (215) 829-2345

Other practice location 1

1865 Route 70 E
Cherry Hill, NJ 08003-2005
Phone (856) 772-3047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160705000369 PA Practitioner - Obstetrics/Gynecology 2163720053 Reassigns benefits to 3 organizations
I20201123002055 NJ Practitioner - Obstetrics/Gynecology 2163720053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Drexel University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

450 Cresson Blvd
Oaks, PA 19456-1109
Phone (610) 829-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456450PAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey PC Obstetrics & Gynecology CurrentSince Oct 21, 2020 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Obstetrics & Gynecology CurrentSince Oct 21, 2020 Accepting new patients
Shore Memorial Hospital Obstetrics & Gynecology CurrentSince Feb 15, 2021 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Dec 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Maternal & Fetal Medicine Current Accepting new patients
Main Line Healthcare Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 5, 2020 Accepting new patients

Locations

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Ste 250
Cherry Hill, NJ 08003
Phone (856) 429-0400

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

110 Marter Ave
Ste 505
Moorestown, NJ 08057
Phone (856) 235-4840

5 Plainsboro Rd
Ste 180
Plainsboro, NJ 08536
Phone (609) 853-7660

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

1020 Baltimore Pike
Ste 310
Glen Mills, PA 19342
Phone (484) 227-7532

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

800 Walnut St
Fl 11
Philadelphia, PA 19107
Phone (215) 573-8886

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

780 E Market St
Ste 105
West Chester, PA 19382
Phone (610) 649-9021

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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 1

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1194087270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-2345",
            "fax_number": "215-829-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-2345",
            "fax_number": "215-829-3365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032005",
            "country_code": "US",
            "telephone_number": "856-772-3047",
            "fax_number": "856-772-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSON",
        "first_name": "PAULA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA10918600",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD456450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.