Individual provider Active NPI

Fredric Feit, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1093835308
Registry record updated Mar 7, 2023
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
56174 Issued in NJ
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
148172OtherNYLIC#
11-281-2216OtherNJFEDERAL TAX ID#
56174OtherNJLIC #

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56174NJMDPain 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

Verify at the official NPI Registry.