Active NPI
Felicia Relkin, M.D.
- Internal Medicine Physician
- Harrington Park, NJ
National Provider Identifier
1720089303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA06356900
- Practice address
- 24 Elm St
Harrington Park, NJ 07640-1902 - Phone
- (201) 784-0123
- Fax
- (201) 784-0065
- NPI assigned
- Aug 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06356900 | NJ | Primary |
| Pulmonary Disease Physician | 207RP1001X | 25MA06356900 | NJ |
Addresses
Primary practice location
24 Elm St
Harrington Park, NJ 07640-1902
Mailing address
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 784-0123
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38N782 | Other | NJ | EMPIRE BC/BS (TE) # |
| 8149305 | Medicaid | NJ | |
| P1855315 | Other | NJ | OXFORD # |
| 0087326000 | Other | NJ | AMERIHEALTH ID # |
| 2286524 | Other | NJ | AETNA HMO ID # |
| 1K4055 | Other | NJ | HEALTHNET ID # |
| 38N781 | Other | NJ | EMPIRE HC (HP) # |
| 4568646 | Other | NJ | AETNA PPO ID # |
| 38N783 | Other | NJ | EMPIRE BC/BS (NV) # |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06356900 | NJ | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Internal Medicine | Current | Accepting new patients |
Locations
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
24 Elm St
Harrington Pk, NJ 07640
Phone (201) 784-0123
274 County Rd
Tenafly, NJ 07670
Phone (201) 568-0493
274 County Rd
Ste A
Tenafly, NJ 07670
Phone (201) 568-0493
Interoperability endpoints
- frelkin236829@direct.englewoodhealth.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1720089303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ELM ST",
"city": "HARRINGTON PARK",
"state": "NJ",
"postal_code": "076401902",
"telephone_number": "201-784-0123",
"fax_number": "201-784-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 ELM ST",
"city": "HARRINGTON PARK",
"state": "NJ",
"postal_code": "076401902",
"telephone_number": "201-784-0123",
"fax_number": "201-784-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELKIN",
"first_name": "FELICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06356900",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA06356900",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS (TE) #",
"identifier": "38N782",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8149305",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD #",
"identifier": "P1855315",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ID #",
"identifier": "0087326000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO ID #",
"identifier": "2286524",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET ID #",
"identifier": "1K4055",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE HC (HP) #",
"identifier": "38N781",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO ID #",
"identifier": "4568646",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS (NV) #",
"identifier": "38N783",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrington Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.