Active NPI
Dan Feldman Rd LLC
- Community Health Clinic/Center
- Long Beach, NY
National Provider Identifier
1336787357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- DAN FELDMAN RD LLC
- Practice address
- 68 Barnes St
Long Beach, NY 11561-2615 - Phone
- (516) 376-3343
- NPI assigned
- Dec 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Feldman, MS, RD
- Title
- Owner
- Phone
- (516) 376-3343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
68 Barnes St
Long Beach, NY 11561-2615
Mailing address
68 Barnes St
Long Beach, NY 11561-2615
Phone (516) 376-3343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576800000000",
"number": "1336787357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 BARNES ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612615",
"telephone_number": "516-376-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 BARNES ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115612615",
"telephone_number": "516-376-3343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAN FELDMAN RD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A",
"authorized_official_last_name": "FELDMAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-376-3343",
"authorized_official_credential": "MS, RD"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.