Active NPI
Catharine Fedeli, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1093837007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 171244-1
- Practice address
- 275 Central Park W
Suite # 1 a
New York, NY 10024-3015 - Phone
- (212) 580-8187
- Fax
- (212) 875-1218
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 171244-1 | NY | Primary |
Addresses
Primary practice location
275 Central Park W
Suite # 1 a
New York, NY 10024-3015
Mailing address
275 Central Park W
Suite # 1 a
New York, NY 10024-3015
Phone (212) 580-8187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171244-1 | Other | NY | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 10, 2015 through Dec 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171244-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093837007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CENTRAL PARK W",
"address_2": "SUITE # 1 A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243015",
"telephone_number": "212-580-8187",
"fax_number": "212-875-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 CENTRAL PARK W",
"address_2": "SUITE # 1 A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243015",
"telephone_number": "212-580-8187",
"fax_number": "212-875-1218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDELI",
"first_name": "CATHARINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "171244-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "171244-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.