Haim Fedida

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059957 Issued in NY

Practice address

2060 Lexington Ave
New York, NY 10035

Phone

(518) 598-2373

NPI assigned

Apr 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1003341330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351759",
            "telephone_number": "518-598-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "518-598-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDIDA",
        "first_name": "HAIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Federation Employment and Guidance Services
• Federico P Girardi, MD PC
• Anne Federico, M.D.
• Alex D Federman, MD
• Alain Albert Fedida, MD
• Marianna Fedorenko, PHARMD
• David Fedoronko, M.D.
• Anjali K. Fedson Hack, M.D.
• Peter Anthony Fedullo, PA
• Alexandra Fedurina, LCSW

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.