Organization Active NPI

Donald B. Feinsod, M.D.,P.C.

  • Dermatology Physician
  • Hewlett, NY
National Provider Identifier
1740564574
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
118762 Issued in NY
Legal business name
DONALD B. FEINSOD, M.D.,P.C.
Practice address
1605 Broadway
Hewlett, NY 11557-1534
Phone
(516) 374-4422
Fax
(516) 374-3454
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Donald B Feinsod, M.D.NPI 1215009410
Title
President
Phone
(516) 374-4422

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 118762 NY Primary

Addresses

Primary practice location

1605 Broadway
Hewlett, NY 11557-1534

Mailing address

1605 Broadway
Hewlett, NY 11557-1534
Phone (516) 374-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111101000430 NY Part B Supplier - Clinic/Group Practice 7113190455 Receives reassigned benefits from 1 practitioner
Practice locations: Hewlett, NY; Floral Park, NY

National Provider Directory

National Provider Directory

Locations

27234 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 374-4422

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": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1740564574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571534",
            "telephone_number": "516-374-4422",
            "fax_number": "516-374-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571534",
            "telephone_number": "516-374-4422",
            "fax_number": "516-374-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD B. FEINSOD, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "FEINSOD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-374-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "118762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.