Organization Active NPI

Joseph B Felder M D P C

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1699040568
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
183784 Issued in NY
Legal business name
JOSEPH B FELDER M D P C
Practice address
115 E 57TH St
Suite510
New York, NY 10022-2049
Phone
(212) 472-8039
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Joseph B Felder, MDNPI 1174522569
Title
Owner
Phone
(212) 472-8039

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 183784 NY Primary

Addresses

Primary practice location

115 E 57TH St
Suite510
New York, NY 10022-2049

Mailing address

115 E 57TH St
Suite510
New York, NY 10022-2049
Phone (212) 472-8039

Other identifiers 1

IdentifierTypeStateIssuer
03463292MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000000 NY Part B Supplier - Clinic/Group Practice 5597929505 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

201 E 93rd St
Fl 2
New York, NY 10128

150 E 58th St
Frnt 4
New York, NY 10155
Phone (212) 472-8039

115 E 57th St
Ste 510
New York, NY 10022
Phone (212) 472-8039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1699040568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-472-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "SUITE510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-472-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B FELDER M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "FELDER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-472-8039",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "183784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03463292",
            "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 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.