Active NPI
Fredric Feit, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
National Provider Identifier
1093835308
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 19, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 56174
- Practice address
- 1474 Ocean Ave
Brooklyn, NY 11230-3860 - Phone
- (718) 618-0029
- Fax
- (718) 377-7474
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 56174 | NJ | Primary |
Addresses
Primary practice location
1474 Ocean Ave
Brooklyn, NY 11230-3860
Mailing address
2 Twin Lakes Dr
Manalapan, NJ 07726-8680
Phone (732) 780-8648
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148172 | Other | NY | LIC# |
| 11-281-2216 | Other | NJ | FEDERAL TAX ID# |
| 56174 | Other | NJ | LIC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56174 | NJ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1093835308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TWIN LAKES DR",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268680",
"telephone_number": "732-780-8648",
"fax_number": "732-308-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303860",
"telephone_number": "718-618-0029",
"fax_number": "718-377-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIT",
"first_name": "FREDRIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "56174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC#",
"identifier": "148172",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID#",
"identifier": "11-281-2216",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC #",
"identifier": "56174",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.