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DR. MICHAEL JARED EDENZON DC
NPI 1790860476
Chiropractor - Nutrition in Wilmington, DE

Active since October 25, 2006
1010 CONCORD AVENUE, STE 101, WILMINGTON, DE 19802(302) 777-5551(302) 777-5567 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Jared Edenzon Dc NPPES

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

DR. MICHAEL JARED EDENZON DC (NPI 1790860476) is an individual nutrition provider in Wilmington, Delaware, licensed in Delaware (111NN1001X) and active in the NPI registry since October 2006. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790860476
Entity TypeIndividualMale
Primary Taxonomy111NN1001X
Provider Legal NameDR. MICHAEL JARED EDENZONCredential: DC
Location Address1010 CONCORD AVENUE, STE 101Wilmington, DE 19802-3366
Mailing Address15 Burnt Mill RoadCherry Hill, NJ 08003-3947 · (856) 422-9234 · Fax (856) 422-9233
Phone(302) 777-5551
Fax(302) 777-5567
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1790860476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
Licenses✔ Licensed in DE · 111NN1001X✔ Licensed in PA · DC-007149-L
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
1010 CONCORD AVENUE, Wilmington, DE 19802
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Secondary Practice Locations 3

Location 11326 South Governors Avenue, Ste DDover, DE 19904-4800 · Phone (302) 264-9770 · Fax (302) 883-2786
Location 2757 Pulaski Highway, Ste 5Bear, DE 19701-5214 · Phone (302) 554-5421 · Fax (302) 544-5019
Location 31101 Twin C Lane, Ste 201Newark, DE 19713-2159 · Phone (302) 777-5551 · Fax (302) 777-5567

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Jared Edenzon Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Cillo Chiropractic LLC
27 mi
Chiropractor
10 WOODLANE DRIVE
Blackwood, NJ 08012
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1427590827 (856) 228-0019

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

Other Providers at the Same Location NPPES

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

DR. TODD HOWARD BOGOS DC
Chiropractor
1010 CONCORD AVENUE, STE 101
WILMINGTON, DE 19802
New Castle County (302) 777-5551

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 Michael Edenzon's NPI number?

The NPI number for Michael Edenzon is 1790860476. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Michael Edenzon located?

Michael Edenzon practices at 1010 Concord Avenue Ste 101, Wilmington, DE 19802. The listed phone number is (302) 777-5551.

What is Michael Edenzon's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Michael Edenzon enrolled in Medicare?

Yes. Michael Edenzon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Edenzon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Edenzon reassigns Medicare benefits to Cillo Chiropractic LLC (Blackwood, NJ). 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 Michael Edenzon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Edenzon was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.