Matthew Feller MD PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MA04251900 Issued in NJ

Legal business name

MATTHEW FELLER MD PA

Practice address

1475 Bergen Blvd
Fort Lee, NJ 07024-5806

Phone

(201) 461-4852

Fax

(201) 735-2171

NPI assigned

Jun 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew F Feller, MD,PA

Title

President

Phone

(201) 461-4852

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1295994945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 BERGEN BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242176",
            "telephone_number": "201-461-4852",
            "fax_number": "201-735-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BERGEN BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245806",
            "telephone_number": "201-461-4852",
            "fax_number": "201-735-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW FELLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-07",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-461-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA04251900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Marquez, OT-LP
• Natalia Konstancja Massar, PMHNP
• Leyla Amanda Mata, M.A., ED.M, L.P.C.
• John Mathai
• Frank Joseph Matone, PH.D,DHS,LCSW
• Joseph Eus Mauriello, D.D.S.
• Ariel Mayer, L.AC.
• Shelly Shamara McLean, APN
• MD Healthcare Services-NJ, LLC
• MD Healthcare Services-NJ, LLC

• Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.