Active NPI
David I Edelman, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Northfield, NJ
National Provider Identifier
1255321113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DI12002
- Practice address
- 1205 Tilton Rd
Northfield, NJ 08225-1236 - Phone
- (609) 484-1879
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DI12002 | NJ | Primary |
Addresses
Primary practice location
1205 Tilton Rd
Northfield, NJ 08225-1236
Mailing address
PO Box 116
Northfield, NJ 08225-0116
Phone (609) 484-1879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255009 | Medicaid | NJ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI12002 | NJ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255321113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082250116",
"telephone_number": "609-484-1879",
"fax_number": "609-484-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 TILTON RD",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251236",
"telephone_number": "609-484-1879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELMAN",
"first_name": "DAVID",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "DI12002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0255009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.