Physician Compare National (NPI:1902956121)

HEALTHCARE PROVIDER: CHRISTOPHER MATTHEW EDELMANN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902956121
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305837477
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101117000257
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EDELMANN
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	MATTHEW
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CHRISTOPHER M EDELMANN,M.D.,P.C
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1153312228
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	42 SHERWOOD PL
	Group Practice or individual's line 1 address
City	GREENWICH
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068305638
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2038690502
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GREENWICH HOSPITAL ASSOCIATION -
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	STAMFORD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M