Individual provider Active NPI

Benjamin Wallbrunn Felder, DO

  • Internal Medicine Physician
  • Oceanside, NY
National Provider Identifier
1003261041
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
316981 Issued in NY
Practice address
1 Healthy Way
Oceanside, NY 11572-1551
Phone
(516) 632-3666
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 316981 NY
Internal Medicine Physician 207R00000X 316981 NY Primary

Addresses

Primary practice location

1 Healthy Way
Oceanside, NY 11572-1551

Mailing address

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3666

Other practice location 1

600 Broadway Ave NW Apt 307
Grand Rapids, MI 49504-7318
Phone (520) 440-3152

Other practice location 2

First Avenue at 16TH Street
New York, NY 10003
Phone (212) 844-1808

Other practice location 3

281 1st Ave
New York, NY 10003-2925
Phone (212) 844-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921001783 NY Practitioner - Internal MedicinePractitioner - Hospitalist 8628308509 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
316981NYMDHospitalist Physician

Practice roles (15 of 19)

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2023 Accepting new patients
Geneva General Hospital, Inc CurrentSince Sep 6, 2022 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Hospitalist CurrentSince Oct 1, 2022 Accepting new patients
Geneva General Hospital Internal Medicine CurrentSince Sep 6, 2022 Accepting new patients
Mount Sinai School of Medicine Internal Medicine Current Accepting new patients
TBHC Physician Services PC CurrentSince Jan 19, 2026 Accepting new patients
Mount Sinai School of Medicine CurrentSince Nov 14, 2022 Accepting new patients
Mount Sinai School of Medicine CurrentSince Nov 14, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients

Locations

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

196 North St
Geneva, NY 14456
Phone (315) 787-4156

281 1st Ave
New York, NY 10003
Phone (212) 844-1808

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: bfelder19218@prd.direct.tbh.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai School of Medicine 150 clinicians
Icahn School of Medicine at Mount Sinai 2,809 clinicians
Atlantic Professional Services of Rhode Island Incorporated 15 clinicians
TBHC Physician Services PC 111 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (877) 768-8462

1 St Ave 16TH St
New York, NY 10003
Phone (212) 844-8100

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

Hospital & facility affiliations

  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • Mount Sinai West Hospital, New York, NY, CCN 330046

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1003261041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Broadway Ave NW Apt 307",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495047318",
            "country_code": "US",
            "telephone_number": "520-440-3152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "FIRST AVENUE AT 16TH STREET",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "country_code": "US",
            "telephone_number": "212-844-1808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100032925",
            "country_code": "US",
            "telephone_number": "212-844-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDER",
        "first_name": "BENJAMIN",
        "middle_name": "WALLBRUNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "316981",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "316981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.