Active NPI
Marc Feingold MD LLC
- Non-Pharmacy Dispensing Site
- Manalapan, NJ
National Provider Identifier
1770825564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 25MA08475500
- Legal business name
- MARC FEINGOLD MD LLC
- Practice address
- 420 Bridge Plaza Dr
Manalapan, NJ 07726-1735 - Phone
- (732) 536-8008
- NPI assigned
- Mar 20, 2013
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 964-1506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 25MA08475500 | NJ | Primary |
Addresses
Primary practice location
420 Bridge Plaza Dr
Manalapan, NJ 07726-1735
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other names 1
- Marc Feingold M.D.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2009471 | Marc Feingold MD LLC | Certificate of waiver | Jul 5, 2028 |
National Provider Directory
National Provider Directory- Part of
- Tri - State Medical Group Inc
Interoperability endpoints
- https://api.platform.athenahealth.com/2869/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Manalapan, NJ
- NPI 1306805015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1770825564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 BRIDGE PLAZA DR",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077261735",
"telephone_number": "732-536-8008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC FEINGOLD MD LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2013-03-20",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "858-964-1506"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NJ",
"license": "25MA08475500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marc Feingold M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.