Active NPI
Dr Lawrence Feder
- Dentist
- New York, NY
National Provider Identifier
1497176366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DR LAWRENCE FEDER
- Practice address
- 55 Avenue C
New York, NY 10009-6855 - Phone
- (212) 673-3698
- NPI assigned
- Dec 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Feder, DDS
- Title
- Owner
- Phone
- (212) 673-3698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NY | Primary |
Addresses
Primary practice location
55 Avenue C
New York, NY 10009-6855
Mailing address
710 Queen Anne Rd
Teaneck, NJ 07666-3316
Phone (212) 673-3698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00292379 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Lawrence Feder
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- New York, NY
- NPI 1528306370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New York, NY
- NPI 1568512267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387411200000",
"number": "1497176366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 QUEEN ANNE RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663316",
"telephone_number": "212-673-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 AVENUE C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100096855",
"telephone_number": "212-673-3698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR LAWRENCE FEDER",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A",
"authorized_official_last_name": "FEDER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-673-3698",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00292379",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Dr Joseph Greer and Dr Mitchel Charnas
- Dr Joy Canfield Psychology Professional Corporation
- Dr Julia Fisher Psychology
- Dr Kevin O'Brien, PHD
- Dr Koslovsky DDS PC
- Dr Lawrence Feder
- Dr Marcela a Bonafina-Caraccioli Psychologist PC
- Dr Marina Feldman MD PC
- Dr Medical Services PC
- Dr Melissa Corpus, Psych, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.