Individual provider Active NPI

Roger P Feldman, M.D.

  • Psychiatry Physician
  • Elmont, NY
National Provider Identifier
1457420960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
134595 Issued in NY
Practice address
570 Elmont Rd
Suite 301
Elmont, NY 11003-3535
Phone
(516) 239-9138
Fax
(516) 437-6050
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 134595 NY Primary

Addresses

Primary practice location

570 Elmont Rd
Suite 301
Elmont, NY 11003-3535

Mailing address

570 Elmont Rd
Suite 301
Elmont, NY 11003-3535
Phone (516) 239-9138

Other identifiers 1

IdentifierTypeStateIssuer
134595MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051010000317 NY Practitioner - Psychiatry 7315962339 Reassigns benefits to 1 organization
Practice locations: Roslyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Un of California, Irvine, College of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizon Counseling Center IncGroup PAC ID 4880681295, 87 clinicians

Practice addresses (Care Compare)

50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone (516) 569-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134595NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Children's Association - Linkage Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457420960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 ELMONT RD",
            "address_2": "SUITE 301",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033535",
            "telephone_number": "516-239-9138",
            "fax_number": "516-437-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ELMONT RD",
            "address_2": "SUITE 301",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033535",
            "telephone_number": "516-239-9138",
            "fax_number": "516-437-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "ROGER",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "134595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.