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DR. BRUCE ALLEN EDELMAN M.D.
NPI 1639276009
Otolaryngology - Pediatric Otolaryngology in East Brunswick, NJ

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
557 CRANBURY RD STE 3, EAST BRUNSWICK, NJ 08816(732) 238-0300(732) 238-4066 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 27, 2020, Apr 2, 2019, Feb 22, 2018 (3 updates tracked since 2018).

About Dr. Bruce Allen Edelman M.d. NPPES

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

DR. BRUCE ALLEN EDELMAN M.D. (NPI 1639276009) is an individual pediatric otolaryngology provider in East Brunswick, New Jersey, licensed in New Jersey (25MA05620000) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and maintains a secondary practice location in Somerset.

NPPES Registry Identity

NPI1639276009
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameDR. BRUCE ALLEN EDELMANCredential: M.D.
Location Address557 CRANBURY RD STE 3East Brunswick, NJ 08816-5419
Mailing Address660 White Plains Rd Fl 4Tarrytown, NY 10591-5139 · (914) 984-2546
Phone(732) 238-0300
Fax(732) 238-4066
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1984
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 27, 20203 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1639276009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in NJ · 25MA05620000
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
557 CRANBURY RD STE 3, East Brunswick, NJ 08816
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Secondary Practice Location 1

Location 11543 State Route 27 Ste 21Somerset, NJ 08873-4015 · Phone (732) 873-6863 · Fax (732) 873-6853

Other Identifiers 1

Medicaid4572408NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bruce Allen Edelman 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 ID7911063169
PECOS Enrollment IDI20110225000677
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.

Medicare Billing Reassignment

Medicare enrollment records show Bruce Edelman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ent And Allergy Associates LLP
54 mi
Otolaryngology
660 WHITE PLAINS RD STE 400
Tarrytown, NY 10591
  • Reassigned Medicare billing, New Jersey enrollment
  • 153 clinicians in this Medicare group
NPI 1376598326 (914) 333-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
401 services247 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
247 services168 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
213 services144 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
190 services132 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
103 services103 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
88 services84 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers13 claims13 services$23.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. SARA H AXELROD-MALAGOLD M.D., M.P.H.
Allergy & Immunology
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 613-0600
MARIA BREEN AUD
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 613-0600
DR. ALLISON BAILE AU.D, CCC-A
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 613-0600
GABRIELLA SUTERA AU.D., CCC-A
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 613-0600
KIMBERLY RETHY DO
Otolaryngology
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 613-0600
DR. STEVEN LLOYD SABIN M.D.
Otolaryngology
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 238-0300
DR. AMELIA MAINARDI AUD
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 613-0600
DR. EMILY FRANCES VRABEL AU.D.
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Middlesex County (718) 208-4449

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 Bruce Edelman's NPI number?

The NPI number for Bruce Edelman is 1639276009. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Bruce Edelman located?

Bruce Edelman practices at 557 Cranbury Rd Ste 3, East Brunswick, NJ 08816. The listed phone number is (732) 238-0300.

What is Bruce Edelman's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Bruce Edelman enrolled in Medicare?

Yes. Bruce Edelman 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.

Which organization bills Medicare for Bruce Edelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Edelman reassigns Medicare benefits to Ent And Allergy Associates LLP (Tarrytown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bruce Edelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bruce Edelman accept?

Health plans from Oscar Health list Bruce Edelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bruce Edelman affiliated with any hospitals?

According to CMS data, Bruce Edelman is affiliated with Saint Peter's University Hospital and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Bruce Edelman was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.