Active NPI
Evan L. Feibusch, M.D.
- Forensic Psychiatry Physician
- Newtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 25MA06859700
- Practice address
- 502 E Washington Ave
Suite 2
Newtown, PA 18940-2131 - Phone
- (215) 867-9010
- Fax
- (866) 246-9305
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | MD421947 | PA | |
| Forensic Psychiatry Physician | 2084F0202X | 25MA06859700 | NJ | Primary |
Addresses
Primary practice location
502 E Washington Ave
Suite 2
Newtown, PA 18940-2131
Mailing address
2865 S. Eagle Road
PMB 366
Newtown, PA 18940-0186
Phone (215) 867-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1517 Durham Rd
Penndel, PA 19047-5707
Phone (215) 752-1541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| Penndel Mental Health Center, Inc. | Current | Accepting new patients | |
| Penndel Mental Health Center | Past | Accepting new patients |
Locations
59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390
2080 Cabot Blvd W
Ste 100
Langhorne, PA 19047
Phone (267) 587-2390
2005 Cabot Blvd W
Langhorne, PA 19047
Phone (267) 587-2300
1517 Durham Rd
Penndel, PA 19047
Phone (215) 752-1541
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Penndel, PA
- NPI 1710019096
-
dba Greystone Park Psychiatric Hospital
- Psychiatric Hospital
- Morris Plains, NJ
- NPI 1336221878
-
dba Trenton Psychiatric Hospital
- Psychiatric Hospital
- Trenton, NJ
- NPI 1467552240
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Langhorne, PA
- NPI 1104096973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1831172261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 S. EAGLE ROAD",
"address_2": "PMB 366",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189400186",
"telephone_number": "215-867-9010",
"fax_number": "866-246-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 E WASHINGTON AVE",
"address_2": "SUITE 2",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189402131",
"telephone_number": "215-867-9010",
"fax_number": "866-246-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIBUSCH",
"first_name": "EVAN",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "PA",
"license": "MD421947",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "NJ",
"license": "25MA06859700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.