Active NPI
Matthew Clinton Edson, DVM
- Veterinarian
- Eastampton, NJ
National Provider Identifier
1508201286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 20VI00608600
- Practice address
- 620 Powell Rd
Eastampton, NJ 08060-9710 - Phone
- (609) 261-7280
- Fax
- (609) 261-1366
- NPI assigned
- May 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 20VI00608600 | NJ | Primary |
| Veterinarian | 174M00000X | BV012813 | PA |
Addresses
Primary practice location
620 Powell Rd
Eastampton, NJ 08060-9710
Mailing address
620 Powell Rd
Eastampton, NJ 08060-9710
Phone (609) 261-7280
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 |
|---|---|---|---|
| 20VI00608600 | NJ | MD | Veterinarian |
| BV012813 | PA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1508201286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 POWELL RD",
"city": "EASTAMPTON",
"state": "NJ",
"postal_code": "080609710",
"telephone_number": "609-261-7280",
"fax_number": "609-261-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 POWELL RD",
"city": "EASTAMPTON",
"state": "NJ",
"postal_code": "080609710",
"telephone_number": "609-261-7280",
"fax_number": "609-261-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDSON",
"first_name": "MATTHEW",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "NJ",
"license": "20VI00608600",
"primary": true
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "PA",
"license": "BV012813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.