Individual provider Active NPI

David G Edelson, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1568440485
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15517801 Issued in NY
Practice address
1 Hollow LN Ste 109
New Hyde Park, NY 11042-1215
Phone
(516) 627-4433
Fax
(516) 627-0552
NPI assigned
Jan 3, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15517801 NY Primary

Addresses

Primary practice location

1 Hollow LN Ste 109
New Hyde Park, NY 11042-1215

Mailing address

1 Hollow LN Ste 109
New Hyde Park, NY 11042-1215
Phone (516) 627-4433

Other practice location 1

1000 Northern Blvd
Suite 230
Great Neck, NY 11021-5312
Phone (516) 627-4433

Other identifiers 5

IdentifierTypeStateIssuer
DE016E5110OtherBLUE SHIELD
1M024POtherHIP
AP124OtherOXFORD
0010834OtherGHI
155178-NYOther1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000078 NY Practitioner - Internal MedicinePractitioner - Endocrinology 1355373069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Primary Care Medical Associates PCGroup PAC ID 1456383165, 6 clinicians

Practice addresses (Care Compare)

1000 Northern Blvd
Suite 230
Great Neck, NY 11021-5341
Phone (516) 627-4433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15517801NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roslyn Integrated Medical Services CurrentSince Feb 7, 2007 Accepting new patients
North Shore Primary Care Medical Associates, PC Internal Medicine CurrentSince Dec 1, 1999 Accepting new patients
Health Bridge Concierge Medicine Internal Medicine Past Accepting new patients

Locations

1000 Northern Blvd
Ste 230
Great Neck, NY 11021
Phone (516) 627-4433

1165 Northern Blvd
Ste 300
Manhasset, NY 11030
Phone (516) 627-0303

1 Hollow Ln
Ste 109
New Hyde Park, NY 11042

Interoperability endpoints

  • Direct secure messaging: david.edelson@900799988760580.direct.elationemr.com
  • Direct secure messaging: dge102pcs@m1461.primeclinicalsystems.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1568440485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 109",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-627-4433",
            "fax_number": "516-627-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 109",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-627-4433",
            "fax_number": "516-627-0552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Northern Blvd",
            "address_2": "SUITE 230",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215312",
            "country_code": "US",
            "telephone_number": "516-627-4433",
            "fax_number": "516-627-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSON",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "15517801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DE016E5110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "1M024P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AP124",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0010834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "155178-NY",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.