Active NPI
Alan H Feldman, DPM
- Podiatrist
- Stratford, CT
National Provider Identifier
1295709004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P00339
- Practice address
- 2499 Main St
Stratford, CT 06615-5843 - Phone
- (203) 377-0003
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P00339 | CT | Primary |
Addresses
Primary practice location
2499 Main St
Stratford, CT 06615-5843
Mailing address
508 Blake St
New Haven, CT 06515-1287
Phone (203) 397-0624
Other practice location 1
800 Howard Ave
YPB 1st Floor
New Haven, CT 06519-1369
Phone (203) 737-5656
Other practice location 2
508 Blake St
New Haven, CT 06515-1287
Phone (203) 397-0624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004057402 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P00339 | CT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Foot Surgeons PC | Podiatrist | Current | Accepting new patients |
Locations
508 Blake St
New Haven, CT 06515
Phone (203) 397-0142
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- New Haven, CT
- NPI 1760690572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1295709004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 BLAKE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151287",
"telephone_number": "203-397-0624",
"fax_number": "203-397-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 MAIN ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066155843",
"telephone_number": "203-377-0003"
}
],
"practiceLocations": [
{
"address_1": "800 Howard Ave",
"address_2": "YPB 1st Floor",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065191369",
"country_code": "US",
"telephone_number": "203-737-5656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "508 Blake St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065151287",
"country_code": "US",
"telephone_number": "203-397-0624",
"fax_number": "203-397-0372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELDMAN",
"first_name": "ALAN",
"middle_name": "H",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "P00339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004057402",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.