Dmitry Feldberg, SRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · New York, NY
NPI 1770041360 · NPPES record last updated Mar 4, 2019
Key facts
- NPI
- 1770041360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 604239 (NY)
- Practice address
- 560 W 168TH St
New York, NY 10032-3917 - Phone
- (212) 305-5756
- NPI assigned
- Mar 4, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospital
Parkway Anesthesia Associates LLC
Practice addresses (Care Compare)
150 Bergen St
245 Dept of Anesthesiology
Newark, NJ 07101-2496
Phone (973) 972-7867
495 Jack Martin Blvd
Suite 1
Brick, NJ 08724-7778
Phone (732) 836-9800
Hospital & facility affiliations
- Saint Peter'S University Hospital
- The University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201228000448 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375955966 | Reassigns benefits to 1 organization |
| I20240701001950 | NJ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375955966 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Parkway Anesthesia Associates LLC | Current |
Accepting new patients | |
| University Hospital | Current |
Accepting new patients | |
| Digestive Diseases Diagnostic & Treatment Center LLC | Current |
Accepting new patients | |
| North American Partners in Anesthesia LLP | Current |
Accepting new patients |
Locations
495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800
41 Arthur St
East Brunswick, NJ 08816
Phone (718) 948-8880
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
150 Bergen St
#E245
Newark, NJ 07103
Phone (973) 972-7867
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 604239 | NY | Yes |
Addresses
Primary practice location
560 W 168TH St
New York, NY 10032-3917
Mailing address
560 W 168TH St
New York, NY 10032-3917
Phone (212) 305-5756
Other providers in New York, NY
- Ellen Felcher
- Barbara Greer Feld
- Brittany Paige Feld
- Alla Feldbarg
- Rebecca Feldbaum
- Feldenkrais Etc, LLC
- Alisha Felder
- Beranda Felder
- Joseph B Felder
- Tanya Felder
All providers in New York, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.