Individual provider Active NPI

Evan L. Feibusch, M.D.

  • Forensic Psychiatry Physician
  • Newtown, PA
National Provider Identifier
1831172261
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
25MA06859700 Issued in NJ
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

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080721000482 NJ Practitioner - Psychiatry 7517030752 Reassigns benefits to 2 organizations
I20230223001074 PA Practitioner - Psychiatry 7517030752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penndel Mental Health Center, Inc.Group PAC ID 0042293300, 9 clinicians

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

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Oct 24, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Oct 24, 2017 Accepting new patients
Penndel Mental Health Center, Inc. CurrentSince Dec 19, 2022 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.

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

Verify at the official NPI Registry.