Individual provider Active NPI

Michael Feder, C.PED

  • Orthotic Fitter
  • Brooklyn, NY
National Provider Identifier
1538498514
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
CPED2889 Issued in DE
Practice address
3063 Brighton 13TH St
Brooklyn, NY 11235-5607
Phone
(718) 554-3862
NPI assigned
Dec 21, 2009
Last updated
Dec 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CPED2889 DE Primary

Addresses

Primary practice location

3063 Brighton 13TH St
Brooklyn, NY 11235-5607

Mailing address

9941 64TH Ave
Apt. C7
Rego Park, NY 11374-2653
Phone (718) 440-5641

Other names 1

  • Mr. Michael Feder Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPED2889DEMDOrthotic Fitter

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1538498514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9941 64TH AVE",
            "address_2": "APT. C7",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742653",
            "telephone_number": "718-440-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 BRIGHTON 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355607",
            "telephone_number": "718-554-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDER",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "C.PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "DE",
            "license": "CPED2889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "FEDER",
            "prefix": "MR.",
            "credential": "C.PED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Dec 21, 2009; 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.