NPIMap

Organization Active NPI

Feldman Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1780617993
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
123637 Issued in NY
Legal business name
FELDMAN MEDICAL P.C.
Practice address
2814 Clarendon Rd
Brooklyn, NY 11226-6318
Phone
(718) 469-7363
Fax
(718) 469-7551
NPI assigned
Jul 9, 2006
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. Ernesto M Lopez, M.D.NPI 1346281813
Title
Medical Director
Phone
(212) 781-5075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 123637 NY
Internal Medicine Physician 207R00000X 123637 NY Primary

Addresses

Primary practice location

2814 Clarendon Rd
Brooklyn, NY 11226-6318

Mailing address

4290 Broadway
Suite 2S
New York, NY 10033-3732
Phone (212) 781-5075

Other identifiers 1

IdentifierTypeStateIssuer
02531928MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Feldman Medical PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2814 Clarendon Rd
Brooklyn, NY 11226
Phone (718) 469-7363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1780617993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 BROADWAY",
            "address_2": "SUITE 2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333732",
            "telephone_number": "212-781-5075",
            "fax_number": "212-781-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 CLARENDON RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266318",
            "telephone_number": "718-469-7363",
            "fax_number": "718-469-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELDMAN MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-781-5075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "123637",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "123637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02531928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.