Provider Demographics
NPI:1750647277
Name:EDELSTEIN, ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:EDELSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WHITE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1162
Mailing Address - Country:US
Mailing Address - Phone:732-924-6263
Mailing Address - Fax:888-471-6211
Practice Address - Street 1:200 WHITE RD STE 203
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1162
Practice Address - Country:US
Practice Address - Phone:732-924-6263
Practice Address - Fax:833-471-6211
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281472207R00000X
NJ25MA10986000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine