Individual provider Active NPI

Daniel Feldman, MD

  • Anesthesiology Physician
  • Port Jefferson, NY
National Provider Identifier
1174815591
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
278132 Issued in NY
Practice address
75 N Country Rd
Port Jefferson, NY 11777-2119
Phone
(631) 473-1320
NPI assigned
May 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA11635900 NJ
Anesthesiology Physician 207L00000X 278132 NY Primary

Addresses

Primary practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Mailing address

333 Ny 25a
225
Rocky Point, NY 11778
Phone (631) 744-5980

Other practice location 1

525 E 68th St
M312
New York, NY 10065-4870
Phone (212) 746-2941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160606001778 NY Practitioner - Anesthesiology 8820388739 Reassigns benefits to 3 organizations
I20221215002727 NJ Practitioner - Anesthesiology 8820388739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suffolk Anesthesiology Associates PCGroup PAC ID 6204725740, 78 clinicians

Practice addresses (Care Compare)

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278132NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Office Based Anesthesia LLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Suffolk Anesthesiology Associates, PC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients

Locations (25 of 27)

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

1000 Herrontown Rd
Princeton, NJ 08540
Phone (609) 683-0707

185 Central Ave
Bethpage, NY 11714
Phone (516) 733-7100

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

70 Glen St
Ste 106
Glen Cove, NY 11542
Phone (516) 759-5330

488 Great Neck Rd
Great Neck, NY 11021
Phone (516) 466-1151

400 Townline Rd
Ste 135
Hauppauge, NY 11788
Phone (631) 360-0266

125 Kennedy Dr
Ste 300
Hauppauge, NY 11788
Phone (934) 223-4500

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

59 Southern Blvd
Nesconset, NY 11767
Phone (631) 628-5000

61 Southern Blvd
Nesconset, NY 11767
Phone (631) 659-1700

1991 Marcus Ave
Ste 1010
New Hyde Park, NY 11042
Phone (631) 360-4000

131 Merrick Rd
North Merrick, NY 11566
Phone (516) 223-1515

1174 Route 112
Port Jefferson Station, NY 11776
Phone (631) 509-1730

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

48 Route 25A
Ste 105
Smithtown, NY 11787
Phone (631) 360-4000

Interoperability endpoints

  • Direct secure messaging: dfeldman509153@nyumc.direct-ci.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1174815591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NY 25A",
            "address_2": "225",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "11778",
            "telephone_number": "631-744-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772119",
            "telephone_number": "631-473-1320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 68th St",
            "address_2": "M312",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-2941",
            "fax_number": "212-746-8713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA11635900",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "278132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.