Douglas Edelman, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA07596400 Issued in NJ

Practice address

317 Cleveland Ave, Ste 204
University Pediatric Associates
Highland Park, NJ 08904

Phone

(732) 249-8999

Fax

(732) 249-7827

NPI assigned

Mar 15, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Somerset Pediatric Group, LLC

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1306922992
  NPD (past)
• Barreto & Schwartz Psychology Associates PC Inc

  • Clinical Psychologist
  • Cumberland, RI
  • NPI 1780866707
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437283280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE, STE 204",
            "address_2": "UNIVERSITY PEDIATRIC ASSOCIATES",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-249-8999",
            "fax_number": "732-249-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVE, STE 204",
            "address_2": "UNIVERSITY PEDIATRIC ASSOCIATES",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-249-8999",
            "fax_number": "732-249-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA07596400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr.Michael F. Schwartz Optometrist PC
• Hilary C. Drucker, MSW
• Lara Dubowchik, MSW, LCSW
• Dawn Marie Dunn, BCBA
• Linda Ann Earley, PSY.D.
• Wendy G. Eisenberg, LCSW
• Marsha Eiserman, OTR/L
• Basmah Elfaramawi
• Eliana Redlich LCSW LLC
• Eliane Goldman LCSW, L.L.C

• Pediatric Adolescent Medicine Physician in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.