DR. CARRIE A EDELMAN M.D.
NPI 1821061110
Internal Medicine - Rheumatology in Wall, NJ

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2640 HWY 70, BUILDING 11, WALL, NJ 08736(856) 424-5005(856) 424-4716 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2018, Mar 22, 2018 (2 updates tracked since 2018).

About Dr. Carrie A Edelman M.d. NPPES

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

DR. CARRIE A EDELMAN M.D. (NPI 1821061110) is an individual rheumatology provider in Wall, New Jersey, licensed in New Jersey (25MA07496200) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1996).

NPPES Registry Identity

NPI1821061110
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. CARRIE A EDELMANCredential: M.D.
Location Address2640 HWY 70, BUILDING 11Wall, NJ 08736
Mailing Address2301 E. Evesham Road, Bldg 800, Suite 115Voorhees, NJ 08043-4509 · (856) 424-5005 · Fax (856) 424-4716
Fax(856) 424-4716
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1996
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMay 16, 20182 updates tracked since enumeration
NPI 1821061110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NJ · 25MA07496200
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2640 HWY 70, Wall, NJ 08736

Other Identifiers 5

Other223360408-068NJ · Qualcare
OtherP2775641NJ · Oxford
Other660003971NJ · Railroad Medicare
Medicaid8532702NJ
Other2K4020NJ · Healthnet

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. Carrie A 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 ID3870491772
PECOS Enrollment IDI20050809000598
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.

Areas of Expertise CMS Part B claims 12

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,100 services51 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
4,200 services14 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.
1,175 services484 patients
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.
195 services154 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
142 services41 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
139 services62 patients

Hospital Affiliations CMS Care Compare 4

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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

Other Providers at the Same Location NPPES 4

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

Psychiatry & Neurology (Psychiatry)
2640 HWY 70, BUILDING 5 SUITE 102B
MANASQUAN, NJ 08736
Internal Medicine (Pulmonary Disease)
2640 HWY 70, BLDG 6A
MANASQUAN, NJ 08736
Internal Medicine (Pulmonary Disease)
2640 HWY 70, BLD 6A
MANASQUAN, NJ 08736
Internal Medicine (Pulmonary Disease)
2640 HWY 70, BLD 6A
MANASQUAN, NJ 08736

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 Carrie Edelman's NPI number?

The NPI number for Carrie Edelman is 1821061110. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Carrie Edelman located?

Carrie Edelman practices at 2640 Hwy 70 Building 11, Wall, NJ 08736. The listed phone number is (856) 424-5005.

What is Carrie Edelman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Carrie Edelman enrolled in Medicare?

Yes. Carrie 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.

Is Carrie Edelman affiliated with any hospitals?

According to CMS data, Carrie Edelman is affiliated with Community Medical Center, Ocean Medical Center, Monmouth Medical Center-Southern Campus and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Carrie Edelman was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.