1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Pediatrics
  6. NPI Profile

DR. JONATHAN BUNIVA EDELSON M.D.
NPI 1629416227
Pediatrics - Pediatric Cardiology in Philadelphia, PA

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, DIVISION OF CARDIOLOGY, PHILADELPHIA, PA 19104(215) 590-1220(215) 590-2768 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan Buniva Edelson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN BUNIVA EDELSON M.D. (NPI 1629416227) is an individual pediatric cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT203791) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2013).

NPPES Registry Identity

NPI1629416227
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JONATHAN BUNIVA EDELSONCredential: M.D.
Location Address3401 CIVIC CENTER BLVD, DIVISION OF CARDIOLOGYPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd, 9nw63Philadelphia, PA 19104-4319 · (215) 590-1220 · Fax (215) 590-2768
Phone(215) 590-1220
Fax(215) 590-2768
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateJune 29, 2016
✔ NPI 1629416227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in PA · MT203791
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License MT203791 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Buniva Edelson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183953391
PECOS Enrollment IDI20190913001655
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Edelson's NPI number?

The NPI number for Jonathan Edelson is 1629416227. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Jonathan Edelson located?

Jonathan Edelson practices at 3401 Civic Center Blvd Division Of Cardiology, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.

What is Jonathan Edelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jonathan Edelson enrolled in Medicare?

Yes. Jonathan Edelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Edelson was last updated on June 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.