Individual provider Active NPI

Dale E Edlin, M.D.

  • Cardiovascular Disease Physician
  • Shrewsbury, NJ
National Provider Identifier
1740250117
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04064700 Issued in NJ
Practice address
179 Avenue at the CMN
Suite 101
Shrewsbury, NJ 07702-4804
Phone
(732) 542-7600
Fax
(732) 542-7655
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other identifiers 1

IdentifierTypeStateIssuer
3247902MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050908000169 NJ Practitioner - Cardiovascular Disease (Cardiology) 8628019619 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open MRI Radiology LLCGroup PAC ID 5193736122, 35 clinicians
Newton Imaging P.a.Group PAC ID 1254325970, 42 clinicians

Practice addresses (Care Compare)

530 Green St
Lowr Level
Iselin, NJ 08830-2654
Phone (732) 326-1515

757 State Route 15 S
Suite 104
Lake Hopatcong, NJ 07849-2284
Phone (973) 241-4844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04064700NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Diagnostic Center, P.a. CurrentSince Oct 1, 2024 Accepting new patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease CurrentSince Dec 1, 2010 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 6, 2022 Accepting new patients
Newton Imaging P.a. CurrentSince Oct 1, 2024 Accepting new patients
Shore Heart Group, PA Cardiovascular Disease CurrentSince Aug 1, 2013 Accepting new patients
Radiologic Associates of Northern New Jersey, PA CurrentSince Oct 1, 2024 Accepting new patients
Middletown Ventures Associates LLC CurrentSince Oct 1, 2024 Accepting new patients
MRI Associates of Hackettstown LLC CurrentSince Oct 1, 2024 Accepting new patients
Richard J Claps M.D. & Associates P.a. CurrentSince Oct 1, 2024 Accepting new patients
Personal Touch Radiology, LLC CurrentSince Oct 1, 2024 Accepting new patients
Radiology Associates of Hackettstown LLC CurrentSince Oct 1, 2024 Accepting new patients
Open MRI Radiology LLC CurrentSince Oct 1, 2024 Accepting new patients
Denville Diagnostics Imaging and Open MRI LLC CurrentSince Oct 1, 2024 Accepting new patients
West Orange Radiology, LLC CurrentSince Oct 1, 2024 Accepting new patients
East Brunswick Open Upright MRI LLC CurrentSince Oct 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 6, 2022 Accepting new patients
The Radiology Group of New Jersey, LLC Cardiovascular Disease CurrentSince Mar 2, 2026 Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease Past Accepting new patients
Cardiac Care Center LLC Past Accepting new patients
South Mountain Imaging PastSince Oct 1, 2024 Accepting new patients

Locations

35 Beaverson Blvd
Ste 8C
Brick, NJ 08723
Phone (732) 262-4262

975 Clifton Ave
Clifton, NJ 07013
Phone (973) 777-5786

975 Clifton Ave
Ste 4
Clifton, NJ 07013
Phone (973) 778-8666

161 E Main St
Denville, NJ 07834
Phone (973) 586-1212

620 Cranbury Rd
Ste 10
East Brunswick, NJ 08816
Phone (732) 698-1717

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

657 Willow Grove St
Ste 205
Hackettstown, NJ 07840

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

530 Green St
Lowr
Iselin, NJ 08830
Phone (732) 326-1515

1 State Route 35
Keyport, NJ 07735
Phone (732) 264-2500

757 State Route 15 S
Ste 104
Lake Hopatcong, NJ 07849
Phone (973) 241-4844

95 Madison Ave
Ste B03
Morristown, NJ 07960
Phone (973) 285-1446

222 High St
Ste 101
Newton, NJ 07860
Phone (973) 383-1280

1275 State Route 35
North Middletown, NJ 07748
Phone (732) 275-0999

680 Broadway
Ste 111
Paterson, NJ 07514
Phone (908) 284-2300

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

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

89 Sparta Ave
Ste 110
Sparta, NJ 07871
Phone (973) 726-0498

89 Sparta Ave
Ste 120
Sparta, NJ 07871
Phone (973) 726-0002

21 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 741-1902

9 Mule Rd
Ste E1
Toms River, NJ 08755
Phone (732) 281-1101

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

61 Main St
Ste A
West Orange, NJ 07052
Phone (973) 736-1680

Interoperability endpoints

  • Direct secure messaging: dale.edlin@shoreheartgroup.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71422
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1740250117",
    "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": {
        "last_name": "EDLIN",
        "first_name": "DALE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04064700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3247902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.