Individual provider Active NPI

Gabriel Jake Felder, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Charlottesville, VA
National Provider Identifier
1770015372
Registry record updated Apr 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1215 Lee St
Box 800422
Charlottesville, VA 22908-0816
Phone
(434) 924-2224
Fax
(434) 982-1530
NPI assigned
Apr 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1215 Lee St
Box 800422
Charlottesville, VA 22908-0816

Mailing address

1215 Lee St
Box 800422
Charlottesville, VA 22908-0816
Phone (434) 924-2224

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
I20251103000371 NY Practitioner - Nuclear Medicine 2466722111 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
New York University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (718) 223-4685

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310930NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Radiology P C CurrentSince Aug 25, 2025 Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 19, 2026 Accepting new patients
St. Francis Cardiac Prevention Services PC CurrentSince Jan 19, 2026 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 19, 2026 Accepting new patients

Locations (25 of 35)

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800

500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666

500 Commack Rd
Unit 150C
Commack, NY 11725
Phone (934) 223-7171

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

102 Clowes Ave
Goshen, NY 10924
Phone (845) 333-7200

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

275 North St
Harrison, NY 10528
Phone (914) 925-5211

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

38 Concord Rd
Monticello, NY 12701
Phone (845) 333-6500

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491004800000",
    "number": "1770015372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "address_2": "BOX 800422",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-2224",
            "fax_number": "434-982-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "address_2": "BOX 800422",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-2224",
            "fax_number": "434-982-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDER",
        "first_name": "GABRIEL",
        "middle_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2017-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.