Ingrid M. H. Feder MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

039934 Issued in CT

Legal business name

INGRID M. H. FEDER MD LLC

Practice address

425 Montauk Ave
New London, CT 06320-4642

Phone

(860) 442-0383

Fax

(860) 357-6448

NPI assigned

Jul 6, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ingrid Feder, MD

Title

Owner

Phone

(860) 442-0383

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891216230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204642",
            "telephone_number": "860-442-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204642",
            "telephone_number": "860-442-0383",
            "fax_number": "860-357-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID M. H. FEDER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-442-0383",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609872845",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Hunt, APRN
• Tara M Huta, CRNA
• Victoria A. Hyland, RN
• Safira H. Iddriss, CRNA
• Meredith Ingram, LCSW
• Bizu Irving, D.D.S.
• Chris Islieb
• Kayla Izbicki, MA
• Steven M Jack, LCSW
• Katrina Marcia Jackson, CNM

• Family Medicine Physician in New London, CT
• Providers in New London, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.