Organization Active NPI

Bruce L Feldman, MD, PLLC

Doing business as FeldMed

  • Internal Medicine Physician
  • Huntington, NY
National Provider Identifier
1194070714
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
213830 Issued in NY
Legal business name
BRUCE L FELDMAN, MD, PLLC
Doing business as
FeldMed
Practice address
755 New York Ave Ste 308
Huntington, NY 11743-4240
Phone
(516) 588-8500
Fax
(888) 425-9273
NPI assigned
Jul 19, 2012
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Dr. Bruce Lawrence Feldman, MDNPI 1407886096
Title
Managing Physician
Phone
(516) 588-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 213830 NY Primary

Addresses

Primary practice location

755 New York Ave Ste 308
Huntington, NY 11743-4240

Mailing address

44 Chestnut LN
Woodbury, NY 11797-1913
Phone (516) 588-8500

Other practice location 1

324 S Service Rd Ste 116
Melville, NY 11747-3272
Phone (917) 991-5029

Other practice location 2

10 Medical Dr Ste A
Port Jefferson Station, NY 11776-1590
Phone (631) 772-0707

Other names 1

  • FeldMed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120810000053 NY Part B Supplier - Clinic/Group Practice 8325294119 Receives reassigned benefits from 2 practitioners
Practice locations: Elmhurst, NY; Huntington, NY

National Provider Directory

National Provider Directory

Locations

8031 Broadway
#1
Elmhurst, NY 11373
Phone (917) 340-8997

755 New York Ave
Ste 308
Huntington, NY 11743
Phone (516) 588-8500

324 S Service Rd
Ste 116
Melville, NY 11747
Phone (516) 506-0000

10 Medical Dr
Ste A
Port Jefferson Station, NY 11776
Phone (631) 772-0707

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22926/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1194070714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CHESTNUT LN",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971913",
            "telephone_number": "516-588-8500",
            "fax_number": "888-425-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 308",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "516-588-8500",
            "fax_number": "888-425-9273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 S Service Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117473272",
            "country_code": "US",
            "telephone_number": "917-991-5029",
            "fax_number": "631-393-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117761590",
            "country_code": "US",
            "telephone_number": "631-772-0707",
            "fax_number": "888-425-9273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRUCE L FELDMAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "516-588-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FeldMed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FeldMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.