Organization Active NPI

Dale E. Edlin, MD, LLC

  • Cardiovascular Disease Physician
  • Shrewsbury, NJ
National Provider Identifier
1386803724
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04064700 Issued in NJ
Legal business name
DALE E. EDLIN, MD, LLC
Practice address
179 Avenue at the CMN
Suite 101
Shrewsbury, NJ 07702-4804
Phone
(732) 542-7600
Fax
(732) 542-7655
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dale E Edlin, M.D.
Title
Owner
Phone
(732) 542-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA04064700 NJ Primary

Addresses

Primary practice location

179 Avenue at the CMN
Suite 101
Shrewsbury, NJ 07702-4804

Mailing address

179 Avenue at the CMN
Suite 101
Shrewsbury, NJ 07702-4804
Phone (732) 542-7600

National Provider Directory

National Provider Directory

Locations

179 Avenue At the Cmn
Ste 101
Shrewsbury, NJ 07702
Phone (732) 380-6010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1386803724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 AVENUE AT THE CMN",
            "address_2": "SUITE 101",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024804",
            "telephone_number": "732-542-7600",
            "fax_number": "732-542-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 AVENUE AT THE CMN",
            "address_2": "SUITE 101",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024804",
            "telephone_number": "732-542-7600",
            "fax_number": "732-542-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE E. EDLIN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "EDLIN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-542-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04064700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.