Individual provider Active NPI

Lolita Feld, PA-C

  • Family Medicine Physician
  • Ridgewood, NJ
National Provider Identifier
1558916239
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA060848 Issued in PA
Practice address
1200 E. Ridgewood Ave
Suite 208
Ridgewood, NJ 07450
Phone
(201) 444-0868
Fax
(201) 493-0797
NPI assigned
Aug 8, 2019
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060848 PA
Family Medicine Physician 207Q00000X MA060848 PA Primary

Addresses

Primary practice location

1200 E. Ridgewood Ave
Suite 208
Ridgewood, NJ 07450

Mailing address

1200 E. Ridgewood Ave
Suite 208
Ridgewood, NJ 07450
Phone (201) 444-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517000059 NJ Practitioner - Physician Assistant 2860723772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Group of Bergen County PAGroup PAC ID 5698755056, 26 clinicians

Practice addresses (Care Compare)

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Phone (201) 444-0868

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060848PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Milton S Hershey Medical Center Physicians Group Family Medicine CurrentSince Sep 3, 2019 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 3, 2019 Accepting new patients

Locations

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

941 Park Dr
Palmyra, PA 17078
Phone (717) 531-8814

Interoperability endpoints

  • Direct secure messaging: lolita.feld.1@25202.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1558916239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E. RIDGEWOOD AVE",
            "address_2": "SUITE 208",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-0868",
            "fax_number": "201-493-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E. RIDGEWOOD AVE",
            "address_2": "SUITE 208",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-0868",
            "fax_number": "201-493-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELD",
        "first_name": "LOLITA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060848",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA060848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.