Individual provider Active NPI

Alan K Felsen, M.D.

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1619979317
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03327000 Issued in NJ
Practice address
15 Anderson Street
Excelcare Medical Associates, PA
Hackensack, NJ 07601-0000
Phone
(201) 487-3355
Fax
(201) 487-0960
NPI assigned
Aug 11, 2005
Reactivated
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA033270000 NJ
Internal Medicine Physician 207R00000X 25MA03327000 NJ Primary

Addresses

Primary practice location

15 Anderson Street
Excelcare Medical Associates, PA
Hackensack, NJ 07601-0000

Mailing address

718 Teaneck Road
Excelcare Medical Associates, PA
Teaneck, NJ 07666-0000
Phone (201) 833-3000

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03327000NJMDInternal Medicine Physician
MA033270000NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1619979317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 TEANECK ROAD",
            "address_2": "EXCELCARE MEDICAL ASSOCIATES, PA",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076660000",
            "telephone_number": "201-833-3000",
            "fax_number": "201-227-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANDERSON STREET",
            "address_2": "EXCELCARE MEDICAL ASSOCIATES, PA",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076010000",
            "telephone_number": "201-487-3355",
            "fax_number": "201-487-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELSEN",
        "first_name": "ALAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-01-26",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA033270000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03327000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.