Organization Active NPI

Edward Feliciano MD PC

  • Multi-Specialty Clinic/Center
  • Astoria, NY
National Provider Identifier
1851892632
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EDWARD FELICIANO MD PC
Practice address
3074 31St St FL 2
Astoria, NY 11102-2073
Phone
(718) 989-8515
NPI assigned
Feb 26, 2018
Last updated
Feb 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Authorized official

Name
Edward Feliciano, MD
Title
Director
Phone
(203) 617-9306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3074 31St St FL 2
Astoria, NY 11102-2073

Mailing address

940 Danbury Rd
Wilton, CT 06897-4909

National Provider Directory

National Provider Directory

Locations

940 Danbury Rd
Wilton, CT 06897
Phone (203) 240-5809

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1851892632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 31ST ST FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022073",
            "telephone_number": "718-989-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD FELICIANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-617-9306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.