Active NPI
Feldman Medical PC
- Family Medicine Physician
- New York, NY
National Provider Identifier
1194763763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 103155-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02531928 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Feldman Medical PC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- New York, NY
- NPI 1417269192
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1780617993
-
- Clinic/Center
- Brooklyn, NY
- NPI 1497058754
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.