Active NPI
Joel S. Federbush, M.D.
- Psychiatry Physician
- Paramus, NJ
National Provider Identifier
1417000332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA53914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA53914 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.