Jay S Federman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

123530 Issued in NY

Practice address

118 Main St
Saranac Lake, NY 12983-1705

Phone

(518) 891-4000

Fax

(518) 891-2598

NPI assigned

Sep 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255328985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831705",
            "telephone_number": "518-891-4000",
            "fax_number": "518-891-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129831705",
            "telephone_number": "518-891-4000",
            "fax_number": "518-891-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERMAN",
        "first_name": "JAY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "123530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00385180",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harrison Metcalf Ewing
• Vincine Antonia Fallica, R.N.
• Daniel F Farrell, MD
• Amy Favro, LMHC
• Dorothy S Federman, MD
• Denise Marcelle Ferrando, MD
• Kathleen Fink, RN
• Elizabeth Carrie Finlayson
• Christina Fisk
• Forever Wild Occupational Therapy

• Family Medicine Physician in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.