Individual provider Active NPI

Gary B. Feldman, DPM

  • Podiatrist
  • Valley Stream, NY
National Provider Identifier
1295843456
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004084 Issued in NY
Practice address
260 W Sunrise Hwy
Suite 111
Valley Stream, NY 11581-1015
Phone
(516) 825-6825
Fax
(516) 791-0174
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004084 NY Primary

Addresses

Primary practice location

260 W Sunrise Hwy
Suite 111
Valley Stream, NY 11581-1015

Mailing address

260 W Sunrise Hwy
Suite 111
Valley Stream, NY 11581-1015
Phone (516) 825-6825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004084NYMDBehavioral Analyst
N004084NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Podiatry PC Podiatrist PastSince Jan 9, 2018 Accepting new patients

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1295843456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY",
            "address_2": "SUITE 111",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811015",
            "telephone_number": "516-825-6825",
            "fax_number": "516-791-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY",
            "address_2": "SUITE 111",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811015",
            "telephone_number": "516-825-6825",
            "fax_number": "516-791-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "GARY",
        "middle_name": "B.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

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

Verify at the official NPI Registry.