Active NPI
Jeffrey Stuart Feldman, MD
- Pediatrics Physician
- Melrose, MA
National Provider Identifier
1598858367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 72231
- Practice address
- 340 Main St
Suite 101
Melrose, MA 02176-4661 - Phone
- (781) 662-4560
- Fax
- (781) 662-4585
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 72231 | MA | Primary |
Addresses
Primary practice location
340 Main St
Suite 101
Melrose, MA 02176-4661
Mailing address
PO Box 349
Winchester, MA 01890-0449
Phone (781) 729-2279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J09385 | Other | MA | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72231 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melrosewakefield Healthcare, Inc. | Past | Accepting new patients | |
| Jeffrey S. Feldman, MD PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jfeldman12598@direct.chppoc.masshiway.net
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Melrose, MA
- NPI 1831384601
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598858367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 349",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018900449",
"telephone_number": "781-729-2279",
"fax_number": "781-662-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAIN ST",
"address_2": "SUITE 101",
"city": "MELROSE",
"state": "MA",
"postal_code": "021764661",
"telephone_number": "781-662-4560",
"fax_number": "781-662-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "JEFFREY",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "72231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J09385",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.