Individual provider Active NPI

Mirela C Feurdean, MD

  • Internal Medicine Physician
  • Vauxhall, NJ
National Provider Identifier
1629040423
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA 08403300 Issued in NJ
Practice address
3 Farrington St
Vauxhall, NJ 07088-1307
Phone
(908) 598-7950
Fax
(908) 686-1163
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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 235929 NY
Internal Medicine Physician 207R00000X 25MA 08403300 NJ Primary

Addresses

Primary practice location

3 Farrington St
Vauxhall, NJ 07088-1307

Mailing address

3 Farrington St
Vauxhall, NJ 07088-1307
Phone (908) 598-7950

Other identifiers 1

IdentifierTypeStateIssuer
02673687MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080827000002 NJ Practitioner - Internal Medicine 4385662220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician Associates of New Jersey IncGroup PAC ID 9830003417, 374 clinicians

Practice addresses (Care Compare)

140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-9000

Hospital & facility affiliations

  • The University Hospital Hospital, Newark, NJ, CCN 310119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA 08403300NJMDInternal Medicine Physician
235929NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Past Accepting new patients
New Rochelle Medical Services, PC Division of OBGYN Past Accepting new patients
Richard G. Karanfilian, M.D.,P.C. Past Accepting new patients
University Hospital Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1629040423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FARRINGTON ST",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881307",
            "telephone_number": "908-598-7950",
            "fax_number": "908-686-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FARRINGTON ST",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881307",
            "telephone_number": "908-598-7950",
            "fax_number": "908-686-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEURDEAN",
        "first_name": "MIRELA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA 08403300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vauxhall, NJ

Sources for this page

Verify at the official NPI Registry.