# MICHAEL EDNIE MD NJ PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558212647
- **Authorized official:** ASHLEY ROBINSON (VP GENERAL MANAGER)
- **Authorized official phone:** (850) 687-6000

## Contact information

- **Practice address:** 820 BEAR TAVERN RD, EWING, NJ 08628-1021
- **Practice address phone:** (857) 990-6111
- **Mailing address:** 300 1ST AVE STE 103, NEEDHAM, MA 02494-2759
- **Mailing address phone:** (857) 990-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2026
- **Last updated:** 02/05/2026