David Elbaum, DO, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

OS003661L Issued in PA

Legal business name

DAVID ELBAUM, DO, LLC

Practice address

115 Summit LN
Bala Cynwyd, PA 19004-2918

Phone

(610) 664-1465

Fax

(610) 664-1466

NPI assigned

Jan 26, 2007

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Elbaum, D.O.NPI 1124053681

Title

Owner

Phone

(215) 285-3865

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David M Elbaum, DO

  • Cardiovascular Disease Physician
  • Berlin, NJ
  • NPI 1124053681
  Authorized official Same address or phone

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1770639569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SUMMIT LN",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042918",
            "telephone_number": "610-664-1465",
            "fax_number": "610-664-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUMMIT LN",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042918",
            "telephone_number": "610-664-1465",
            "fax_number": "610-664-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ELBAUM, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "ELBAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-285-3865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS003661L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Czelusniak, PT, DPT, CSCS
• Danielle Daitch, DPT, PT
• Elizabeth A Dale, MD
• Adrian Dana, M.D.
• Dena Dandridge, LCSW
• David J Nyer LCSW PC
• David Kalkstein MD PC
• David Kalkstein, MD PC
• David N. Goldberg, DO Facoog PC
• David Steinman MD PC

• Cardiovascular Disease Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.