Brick Rheumatology, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

BRICK RHEUMATOLOGY, LLC

Practice address

1640 Route 88
Suite 203
Brick, NJ 08724-3036

Phone

(732) 458-7777

Fax

(732) 458-6741

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Carrie A Edelman, MD

Title

Physician

Phone

(732) 458-7777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891859484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 ROUTE 88",
            "address_2": "SUITE 203",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243036",
            "telephone_number": "732-458-7777",
            "fax_number": "732-458-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ROUTE 88",
            "address_2": "SUITE 203",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243036",
            "telephone_number": "732-458-7777",
            "fax_number": "732-458-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-458-7777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Rheumatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.