Fekade Tefera Physician, P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

FEKADE TEFERA PHYSICIAN, P.C.

Practice address

1222 E 96TH St
Brooklyn, NY 11236-3903

Phone

(718) 874-7095

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fekade Tefera, M.D.NPI 1336177328

Title

President

Phone

(732) 251-2048

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fekade Tefera, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1336177328
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1275686131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CRESCENT AVE",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165416",
            "telephone_number": "732-251-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E 96TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363903",
            "telephone_number": "718-874-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEKADE TEFERA PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "TEFERA",
        "authorized_official_first_name": "FEKADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-251-2048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01702978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Feit
• Shoshana Feit
• Judith Feitman
• Raizel Feitman, M.A.
• Padram Fejal, PHARM. D.
• Fraidy Fekete
• Jared Tobias Fel
• Shaya Felberbaum
• Bruce Feld, D.M.D.
• Daniel Evan Feld, PSY.D.

• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.