Active NPI
Cecile Arlene Feldman, DMD
- Dentist
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI01534
- Practice address
- 110 Bergen Street
New Jersey Dental School
Newark, NJ 07103 - Phone
- (973) 972-4634
- Fax
- (973) 972-3689
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DI01534 | NJ | Primary |
Addresses
Primary practice location
110 Bergen Street
New Jersey Dental School
Newark, NJ 07103
Mailing address
15 Salter Dr
Montville, NJ 07045-9322
Phone (973) 331-0160
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625000315 | NJ | Order and Referring Only - Dentist | 0446488290 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI01534 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Neurosurgery Faculty | Past | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Past | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Rutgers Health - University Behavioral Health Care | Hospital | Corporate Director | Jul 1, 2017 |
| University of Medicine and Dentistry of NJ | Hospital | Corporate Director | Jul 1, 2013 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital
- Piscataway, NJ
- NPI 1942217054
Corporate Director
Organizations & group practices 3
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.
-
- Pediatric Surgery Physician
- New Brunswick, NJ
- NPI 1487736146
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Pain Medicine (Anesthesiology) Physician
- New Brunswick, NJ
- NPI 1982798922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669500393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SALTER DR",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459322",
"telephone_number": "973-331-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BERGEN STREET",
"address_2": "NEW JERSEY DENTAL SCHOOL",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07103",
"telephone_number": "973-972-4634",
"fax_number": "973-972-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "CECILE",
"middle_name": "ARLENE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI01534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.