Individual provider Active NPI

Felicia Relkin, M.D.

  • Internal Medicine Physician
  • Harrington Park, NJ
National Provider Identifier
1720089303
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06356900 Issued in NJ
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

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38N782OtherNJEMPIRE BC/BS (TE) #
8149305MedicaidNJ
P1855315OtherNJOXFORD #
0087326000OtherNJAMERIHEALTH ID #
2286524OtherNJAETNA HMO ID #
1K4055OtherNJHEALTHNET ID #
38N781OtherNJEMPIRE HC (HP) #
4568646OtherNJAETNA PPO ID #
38N783OtherNJEMPIRE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000199 NJ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4789657925 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06356900NJMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Dec 28, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.