Individual provider Active NPI

Joel S. Federbush, M.D.

  • Psychiatry Physician
  • Paramus, NJ
National Provider Identifier
1417000332
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA53914 Issued in NJ
Practice address
16 Arcadian Way
Suite C2
Paramus, NJ 07652-1291
Phone
(201) 845-9800
Fax
(201) 845-8663
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA53914 NJ Primary

Addresses

Primary practice location

16 Arcadian Way
Suite C2
Paramus, NJ 07652-1291

Mailing address

16 Arcadian Way
Suite C2
Paramus, NJ 07652-1291
Phone (201) 845-9800

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
I20090603000174 NJ Practitioner - Psychiatry 3870643448 Practice locations: Paramus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Arcadian Way
Paramus, NJ 07652-1291
Phone (201) 845-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA53914NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Hospital Psychiatry Past 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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1417000332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARCADIAN WAY",
            "address_2": "SUITE C2",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521291",
            "telephone_number": "201-845-9800",
            "fax_number": "201-845-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ARCADIAN WAY",
            "address_2": "SUITE C2",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521291",
            "telephone_number": "201-845-9800",
            "fax_number": "201-845-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERBUSH",
        "first_name": "JOEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA53914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.