Individual provider Active NPI

Sean Daniel Fedyna, M.D.

  • Pulmonary Disease Physician
  • Cedar Knolls, NJ
National Provider Identifier
1497071518
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA11343700 Issued in NJ
Practice address
8 Saddle Rd
Cedar Knolls, NJ 07927-1902
Phone
(973) 267-9393
Fax
(973) 540-0472
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 264665 NY
Pulmonary Disease Physician 207RP1001X 264665 NY
Pulmonary Disease Physician 207RP1001X 25MA11343700 NJ Primary

Addresses

Primary practice location

8 Saddle Rd
Cedar Knolls, NJ 07927-1902

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

1000 Galloping Hill Rd Ste 100
Union, NJ 07083-7989
Phone (908) 522-2829

Other practice location 2

1 Springfield Ave Fl 3
Summit, NJ 07901-4055
Phone (908) 934-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190618002723 NY Practitioner - Pulmonary Disease 7618101965 Reassigns benefits to 1 organization
I20220819000152 NJ Practitioner - Pulmonary Disease 7618101965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

8 Saddle Rd
Cedar Knolls, NJ 07927-1902
Phone (908) 934-0555

Hospital & facility affiliations

  • Atlantic Visiting Nurse Hospice, Morristown, NJ, CCN 311503
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11343700NJMDPulmonary Disease Physician
264665NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Family Medicine CurrentSince Jul 11, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince May 6, 2019 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince May 6, 2019 Accepting new patients

Locations

8 Saddle Rd
Cedar Knolls, NJ 07927
Phone (973) 267-9393

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

1 Springfield Ave
Fl 3
Summit, NJ 07901
Phone (908) 937-0555

1 Springfield Ave
Summit, NJ 07901

1000 Galloping Hill Rd
Ste 100
Union, NJ 07083
Phone (908) 522-2829

177 Fort Washington Ave
Fl 6
New York, NY 10032
Phone (212) 305-2913

622 W 168th St
Ph 3303
New York, NY 10032
Phone (212) 305-2654

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: sfedyna449087@direct.ahsys.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1497071518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SADDLE RD",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271902",
            "telephone_number": "973-267-9393",
            "fax_number": "973-540-0472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Galloping Hill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837989",
            "country_code": "US",
            "telephone_number": "908-522-2829",
            "fax_number": "908-810-8033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Springfield Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079014055",
            "country_code": "US",
            "telephone_number": "908-934-0555",
            "fax_number": "908-934-0556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDYNA",
        "first_name": "SEAN",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264665",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "264665",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA11343700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.