Organization Active NPI

Jonathan a. Feistmann, MD PC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1619112943
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
240088 Issued in NY
Legal business name
JONATHAN A. FEISTMANN, MD PC
Practice address
112 E 19TH St
New York, NY 10003-9605
Phone
(212) 203-0999
Fax
(212) 202-4884
NPI assigned
Dec 16, 2008
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Jonathan Amir FeistmannNPI 1447331087
Title
President
Phone
(212) 203-0999

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
Ophthalmology Physician 207W00000X 240088 NY Primary

Addresses

Primary practice location

112 E 19TH St
New York, NY 10003-9605

Mailing address

112 E 19TH St
New York, NY 10003-9605
Phone (212) 203-0999

Other practice location 1

10721 Queens Blvd Ste 9
Forest Hills, NY 11375-4451
Phone (718) 285-7585

Other identifiers 2

IdentifierTypeStateIssuer
A100098124OtherNYMEDICARE PTAN
02798185MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090226000249 NY Part B Supplier - Clinic/Group Practice 0648336727 Receives reassigned benefits from 4 practitioners
Practice locations: Forest Hills, NY; New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2342703Jonathan a Feistmann MD PC112 E 19TH Street, New York, NY 10003Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

112 E 19th St
New York, NY 10003
Phone (212) 203-0999

Practitioners & affiliated clinicians

Practitioners 4

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": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1619112943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039605",
            "telephone_number": "212-203-0999",
            "fax_number": "212-202-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039605",
            "telephone_number": "212-203-0999",
            "fax_number": "212-202-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10721 Queens Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754451",
            "country_code": "US",
            "telephone_number": "718-285-7585",
            "fax_number": "212-202-4884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN A. FEISTMANN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "FEISTMANN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-203-0999"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "240088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100098124",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02798185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.