Individual provider Active NPI

Daniel P Feghhi, MD

  • Orthopaedic Surgery Physician
  • Wayne, NJ
National Provider Identifier
1629480959
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA10855500 Issued in NJ
Practice address
401 Hamburg Tpke Ste 204
Wayne, NJ 07470-2139
Phone
(973) 606-0643
Fax
(973) 494-8234
NPI assigned
May 21, 2014
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 286682 NY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 286682 NY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA10855500 NJ
Orthopaedic Surgery Physician 207X00000X 25MA10855500 NJ Primary

Addresses

Primary practice location

401 Hamburg Tpke Ste 204
Wayne, NJ 07470-2139

Mailing address

PO Box 734
Oradell, NJ 07649-0734
Phone (973) 606-0643

Other practice location 1

525 Piaget Ave
Clifton, NJ 07011-3550
Phone (973) 606-0643

Other practice location 2

1400 Route 70 E
Cherry Hill, NJ 08034-2240
Phone (973) 606-0643

Other practice location 3

180 Tices Ln Ste 106
East Brunswick, NJ 08816-1345
Phone (973) 606-0643

Other identifiers 1

IdentifierTypeStateIssuer
0861723MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201020000357 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3870837404 Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10855500NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Feghhi MD Orthopaedic Surgery CurrentSince Nov 17, 2024 Accepting new patients
Orthapaedic Specialist of New York and New Jersery LLC Orthopaedic Surgery CurrentSince Oct 2, 2022 Accepting new patients

Locations

401 Hamburg Tpke
Ste 204
Wayne, NJ 07470
Phone (973) 360-6064

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, 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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1629480959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076490734",
            "telephone_number": "973-606-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE STE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702139",
            "telephone_number": "973-606-0643",
            "fax_number": "973-494-8234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Piaget Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070113550",
            "country_code": "US",
            "telephone_number": "973-606-0643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342240",
            "country_code": "US",
            "telephone_number": "973-606-0643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Tices Ln Ste 106",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088161345",
            "country_code": "US",
            "telephone_number": "973-606-0643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEGHHI",
        "first_name": "DANIEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "286682",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "286682",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA10855500",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA10855500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0861723",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.