Individual provider Active NPI

Herbert S Feinberg, M.D.

  • Dermatology Physician
  • Englewood, NJ
National Provider Identifier
1407968910
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA20246 Issued in NJ
Practice address
363 Grand Ave
Englewood, NJ 07631-4104
Phone
(201) 568-6977
Fax
(201) 568-7567
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA20246 NJ
Dermatology Physician 207N00000X MA20246 NJ Primary
Procedural Dermatology Physician 207NS0135X MA20246 NJ

Addresses

Primary practice location

363 Grand Ave
Englewood, NJ 07631-4104

Mailing address

363 Grand Ave
Englewood, NJ 07631-4104
Phone (201) 568-6977

Other identifiers 6

IdentifierTypeStateIssuer
20057OtherNJRR MCR TRAVELERS
27282AOtherNJMAGNACARE
0K1300OtherNJHEALTHNET
579064OtherNJAETNA/USHC
3159018OtherNJCIGNA
P404396OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100302000367 NJ Practitioner - Dermatology 8426957911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
JS Weill Medical College, Cornell University, 1957
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates,PAGroup PAC ID 0648179135, 2 clinicians
Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Practice addresses (Care Compare)

363 Grand Ave
Englewood, NJ 07631-4104
Phone (201) 568-6977

48 S Franklin Tpke
Suite 203
Ramsey, NJ 07446-2558
Phone (201) 825-0009

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions469
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA20246NJMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates,PA Procedural Dermatology CurrentSince Jan 1, 1989 Accepting new patients
Clark Dermatology LLC Dermatology CurrentSince May 1, 2026 Accepting new patients

Locations

1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399

363 Grand Ave
Englewood, NJ 07631
Phone (201) 568-5936

363 Grand Ave
#1
Englewood, NJ 07631

48 S Franklin Tpke
Ste 203
Ramsey, NJ 07446
Phone (201) 825-0009

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1407968910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314104",
            "telephone_number": "201-568-6977",
            "fax_number": "201-568-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314104",
            "telephone_number": "201-568-6977",
            "fax_number": "201-568-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINBERG",
        "first_name": "HERBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA20246",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA20246",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "MA20246",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR TRAVELERS",
            "identifier": "20057",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "27282A",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K1300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC",
            "identifier": "579064",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3159018",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P404396",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.