Organization Active NPI

Feldman Medical PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1194763763
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
103155-1 Issued in NY
Legal business name
FELDMAN MEDICAL PC
Practice address
4290 Broadway
Suite 2-S
New York, NY 10033-3732
Phone
(212) 781-5075
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Ms. Natavan Nasirov
Title
Clinic Manager
Phone
(212) 781-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 103155-1 NY Primary

Addresses

Primary practice location

4290 Broadway
Suite 2-S
New York, NY 10033-3732

Mailing address

4290 Broadway
Suite 2-S
New York, NY 10033-3732
Phone (212) 781-5075

Other identifiers 1

IdentifierTypeStateIssuer
02531928MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Feldman Medical PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1194763763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 BROADWAY",
            "address_2": "SUITE 2-S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333732",
            "telephone_number": "212-781-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 BROADWAY",
            "address_2": "SUITE 2-S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333732",
            "telephone_number": "212-781-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELDMAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "NASIROV",
        "authorized_official_first_name": "NATAVAN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "212-781-5075",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "103155-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02531928",
            "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 Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.