NPIMap

Individual provider Active NPI

Mitchell I Edelson, M.D.

  • Gynecologic Oncology Physician
  • Willow Grove, PA
National Provider Identifier
1255305546
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD064402L Issued in PA
Practice address
3941 Commerce Ave
Willow Grove, PA 19090-1104
Phone
(215) 481-4000
Fax
(215) 576-0740
NPI assigned
Feb 14, 2006
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MD064402L PA Primary

Addresses

Primary practice location

3941 Commerce Ave
Willow Grove, PA 19090-1104

Mailing address

3941 Commerce Ave
Willow Grove, PA 19090-1104
Phone (215) 481-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000364 PA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0749220432 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

1245 Highland Ave
Suite 109
Abington, PA 19001-3722
Phone (215) 481-4212

3941 Commerce Ave
Willow Grove, PA 19090-1104
Phone (215) 481-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD064402LPAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan, Inc Gynecologic Oncology CurrentSince Jun 7, 2014 Accepting new patients
Abington Memorial Hospital Gynecologic Oncology CurrentSince Oct 27, 2009 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jun 7, 2014 Accepting new patients
Abington Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Abington Memorial Hospital CurrentSince Jul 1, 2006 Accepting new patients
Abington Memorial Hospital Gynecologic Oncology CurrentSince Jul 1, 2006 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Health Services of Fox Chase Cancer Center Gynecologic Oncology Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

1200 Old York Rd
#1
Abington, PA 19001
Phone (215) 481-2400

1200 Old York Rd
Fl Toll
Abington, PA 19001
Phone (215) 481-6784

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3998 Red Lion Rd
Ste 106
Philadelphia, PA 19114
Phone (215) 612-4143

5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

3941 Commerce Ave
Willow Grove, PA 19090
Phone (215) 481-4000

Interoperability endpoints

  • Direct secure messaging: mitchell.edelson@direct.einstein.edu

Organizations & group practices 12

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 6

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1255305546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 COMMERCE AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901104",
            "telephone_number": "215-481-4000",
            "fax_number": "215-576-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 COMMERCE AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901104",
            "telephone_number": "215-481-4000",
            "fax_number": "215-576-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSON",
        "first_name": "MITCHELL",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD064402L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.