Dr. Richard Craig Edelson, D.C
Chiropractor in Mahwah, NJ. Individual provider (NPI-1).
NPI number1033200480
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1033200480
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Craig Edelson
- Credential
- D.C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00585800 | NJ | Yes |
| 111N00000X | Chiropractor | X009035-1 | NY |
Practice location
180 Franklin TpkeMahwah, NJ 07430-1306
Phone 201-828-9290
Mailing address
35 Thistle LnHopewell Junction, NY 12533-3407
Phone 845-440-3027
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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