Individual provider Active NPI

Alan H Feldman, DPM

  • Podiatrist
  • Stratford, CT
National Provider Identifier
1295709004
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P00339 Issued in CT
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

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004057402MedicaidCT

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P00339CTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Foot Surgeons PC Podiatrist CurrentSince Oct 13, 2018 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.

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

Verify at the official NPI Registry.