Active NPI
Dale E. Edlin, MD, LLC
- Cardiovascular Disease Physician
- Shrewsbury, NJ
National Provider Identifier
1386803724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA04064700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryLocations
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.
-
- Acute Care Nurse Practitioner
- Sea Girt, NJ
- NPI 1285617753
-
- Cardiovascular Disease Physician
- Eatontown, NJ
- NPI 1912044900
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.