Individual provider Active NPI

Paul E Feldan, MD

  • Internal Medicine Physician
  • Mount Laurel, NJ
National Provider Identifier
1063517860
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05292300 Issued in NJ
Practice address
1000 Birchfield Drive
Suite 1004
Mt. Laurel, NJ 08054
Phone
(856) 866-1557
Fax
(856) 231-7955
NPI assigned
Sep 14, 2006
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05292300 NJ Primary

Addresses

Primary practice location

1000 Birchfield Drive
Suite 1004
Mt. Laurel, NJ 08054

Mailing address

1000 Birchfield Drive
Suite 1004
Mt. Laurel, NJ 08054
Phone (856) 866-1557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101029000182 NJ Practitioner - Internal Medicine 1052441961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Laurel Primary Care Physicians, PCGroup PAC ID 0042383424, 2 clinicians

Practice addresses (Care Compare)

1000 Birchfield Dr
Suite 1004
Mount Laurel, NJ 08054-4019
Phone (856) 866-1557

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05292300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Laurel Primary Care Physicians, PC Internal Medicine CurrentSince Sep 15, 1989 Accepting new patients
Aspen Hills Healthcare Center LLC Past Accepting new patients

Locations

1000 Birchfield Dr
#100
Mount Laurel, NJ 08054
Phone (856) 866-1557

1000 Birchfield Dr
Ste 1004
Mount Laurel, NJ 08054
Phone (856) 866-1557

Interoperability endpoints

  • Direct secure messaging: paul.feldan.1@16054.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1063517860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BIRCHFIELD DRIVE",
            "address_2": "SUITE 1004",
            "city": "MT. LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-866-1557",
            "fax_number": "856-231-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BIRCHFIELD DRIVE",
            "address_2": "SUITE 1004",
            "city": "MT. LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-866-1557",
            "fax_number": "856-231-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDAN",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05292300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.