Organization Active NPI

Feller Medical, PC

  • Primary Care Clinic/Center
  • Great Neck, NY
National Provider Identifier
1518350552
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
198325 Issued in NY
Legal business name
FELLER MEDICAL, PC
Practice address
287 Northern Blvd
Suite 200
Great Neck, NY 11021-4700
Phone
(516) 487-3797
Fax
(516) 466-8356
NPI assigned
Mar 16, 2015
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Alan Stuart Feller, DONPI 1730550476
Title
President
Phone
(516) 487-3797

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 198325 NY Primary

Addresses

Primary practice location

287 Northern Blvd
Suite 200
Great Neck, NY 11021-4700

Mailing address

287 Northern Blvd
Suite 200
Great Neck, NY 11021-4700
Phone (516) 487-3797

National Provider Directory

National Provider Directory

Locations

287 Northern Blvd
Ste 200
Great Neck, NY 11021
Phone (516) 487-3797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1518350552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD",
            "address_2": "SUITE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214700",
            "telephone_number": "516-487-3797",
            "fax_number": "516-466-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD",
            "address_2": "SUITE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214700",
            "telephone_number": "516-487-3797",
            "fax_number": "516-466-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLER MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-487-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "198325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.