Active NPI
Jeffrey A. Feola, M.D.
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1477586303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 214502
- Practice address
- 450 Clarkson Ave
Box 1203
Brooklyn, NY 11203-2056 - Phone
- (718) 270-2025
- Fax
- (718) 270-4617
- NPI assigned
- Jul 7, 2006
- 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 | 214502 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Box 1203
Brooklyn, NY 11203-2056
Mailing address
450 Clarkson Ave
Box 1203
Brooklyn, NY 11203-2056
Phone (718) 270-8867
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JFeola@myupdox.com | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623000266 | NY | Practitioner - Psychiatry | 9931184991 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Connecticut School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-2310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214502 | NY | MD | Psychiatry Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn | Psychiatry | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| LMC Physician Services, PC | Psychiatry | Past | Accepting new patients |
| Downstate Mental Hygiene Associates | Past | Accepting new patients |
Locations
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185
26 Court St
Ste 610
Brooklyn, NY 11242
Phone (718) 436-8534
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jeffreyfeola@sunydmc.allscriptsdirect.net
- jfeola@myupdox.com
Organizations & group practices 5
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.
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
- Public Health or Welfare Agency
- Brooklyn, NY
- NPI 1386678373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1477586303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "BOX 1203",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032056",
"telephone_number": "718-270-8867",
"fax_number": "718-270-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "BOX 1203",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032056",
"telephone_number": "718-270-2025",
"fax_number": "718-270-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEOLA",
"first_name": "JEFFREY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "214502",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JFeola@myupdox.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "450 Clarkson Ave.",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "11203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.