Individual provider Active NPI

Theodore P Felderman, MD

  • Urology Physician
  • Plainview, NY
National Provider Identifier
1710940622
Registry record updated Apr 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
148173 Issued in NY
Practice address
700 Old Country Rd
Plainview, NY 11803-4932
Phone
(516) 433-0262
Fax
(516) 433-0466
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 148173 NY Primary

Addresses

Primary practice location

700 Old Country Rd
Plainview, NY 11803-4932

Mailing address

700 Old Country Rd
Plainview, NY 11803-4932
Phone (516) 433-0262

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
I20050523000700 NY Practitioner - Urology 1951343771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

340 Broadhollow Rd
Farmingdale, NY 11735-4807

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Lithotripsy Associates, P.C. Urology CurrentSince Aug 1, 2023 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jun 1, 2006 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jun 1, 2006 Accepting new patients
Resource Anesthesiology Associates,PC Past Accepting new patients

Locations

9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 796-2222

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

100 Garden City Plz
Ste 101
Garden City, NY 11530
Phone (516) 873-5353

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

535 Plandome Rd
Frnt 3
Manhasset, NY 11030
Phone (516) 627-6188

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

700 Old Country Rd
Plainview, NY 11803
Phone (516) 433-0262

700 Old Country Rd
Ste 100
Plainview, NY 11803
Phone (516) 433-0262

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

Interoperability endpoints

  • Direct secure messaging: theodorefelderman@imppllc.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301702400000",
    "number": "1710940622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034932",
            "telephone_number": "516-433-0262",
            "fax_number": "516-433-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034932",
            "telephone_number": "516-433-0262",
            "fax_number": "516-433-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDERMAN",
        "first_name": "THEODORE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2011-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "148173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.