Organization Active NPI

Arthur Feigenbaum DMD PLLC

  • Customized Equipment (DME)
  • Commack, NY
National Provider Identifier
1073908273
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
033642 Issued in NY
Legal business name
ARTHUR FEIGENBAUM DMD PLLC
Practice address
2171 Jericho Tpke
Suite 100
Commack, NY 11725-2937
Phone
(718) 268-4742
Fax
(718) 268-4756
NPI assigned
Apr 3, 2015
Last updated
Apr 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Arthur J Feigenbaum, DMDNPI 1972524296
Title
Owner
Phone
(718) 268-4742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 033642 NY
Customized Equipment (DME) 332BC3200X 033642 NY Primary

Addresses

Primary practice location

2171 Jericho Tpke
Suite 100
Commack, NY 11725-2937

Mailing address

2171 Jericho Tpke
Suite 100
Commack, NY 11725-2937
Phone (718) 268-4742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150403000847 NY DME Supplier - Oral Surgery - Dentist 2769623644 Practice locations: Commack, NY

National Provider Directory

National Provider Directory
Tax ID family
Arthur Feigenbaum DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2171 Jericho Tpke
Ste 100
Commack, NY 11725
Phone (631) 343-7242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1073908273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 100",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252937",
            "telephone_number": "718-268-4742",
            "fax_number": "718-268-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 100",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252937",
            "telephone_number": "718-268-4742",
            "fax_number": "718-268-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR FEIGENBAUM DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "FEIGENBAUM",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-268-4742",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "033642",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "033642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.