Organization Active NPI

Jeffrey S. Feldman, MD PC

  • Pediatrics Physician
  • Melrose, MA
National Provider Identifier
1831384601
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
72231 Issued in MA
Legal business name
JEFFREY S. FELDMAN, MD PC
Practice address
340 Main St
Suite 101
Melrose, MA 02176-4661
Phone
(781) 662-4560
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Jeffrey Stuart Feldman, MDNPI 1598858367
Title
President
Phone
(781) 662-4560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 72231 MA Primary

Addresses

Primary practice location

340 Main St
Suite 101
Melrose, MA 02176-4661

Mailing address

340 Main St
Suite 101
Melrose, MA 02176-4661
Phone (781) 662-4560

Other identifiers 1

IdentifierTypeStateIssuer
9787054MedicaidMA

National Provider Directory

National Provider Directory

Locations

340 Main St
Ste 101
Melrose, MA 02176
Phone (781) 662-4560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1831384601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST",
            "address_2": "SUITE 101",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764661",
            "telephone_number": "781-662-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAIN ST",
            "address_2": "SUITE 101",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764661",
            "telephone_number": "781-662-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. FELDMAN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-662-4560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "72231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787054",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.