Active NPI
Feminia Castro Mac, MD
- Pediatric Adolescent Medicine Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 28330
- Practice address
- 18 Ferry St
Newark, NJ 07105-1436 - Phone
- (973) 589-3566
- Fax
- (973) 589-1707
- NPI assigned
- Oct 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 28330 | NJ | Primary |
Addresses
Primary practice location
18 Ferry St
Newark, NJ 07105-1436
Mailing address
18 Ferry St
Newark, NJ 07105-1436
Phone (973) 589-3566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28330 | Other | NJ | MEDICAL LICENSE |
| 3921905 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28330 | NJ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Newark | Current | Accepting new patients | |
| City of Newark | Current | Accepting new patients | |
| Eagle Health Services, LLC | Past | Accepting new patients | |
| City of Newark | Past | Accepting new patients | |
| City of Newark | Past | Accepting new patients |
Locations
110 William St
Newark, NJ 07102
Phone (973) 424-4271
110 William St
Ste 110
Newark, NJ 07102
394 University Ave
Newark, NJ 07102
Phone (800) 734-7083
Interoperability endpoints
- feminia.mac.p1@direct.memhc.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Newark Department of Health and Community Wellness
- Community Health Clinic/Center
- Newark, NJ
- NPI 1356561278
-
dba Newark Department of Health and Community Wellness/Mary Eliza Mahoney
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1972206258
-
dba Newark Department of Health and Community Welllness
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1295958908
-
dba Newark Department of Health and Community Wellness
- Community Health Clinic/Center
- Newark, NJ
- NPI 1376976704
-
- Psychiatric/Mental Health Nurse Practitioner
- Newark, NJ
- NPI 1063076685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942386966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 FERRY ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071051436",
"telephone_number": "973-589-3566",
"fax_number": "973-589-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 FERRY ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071051436",
"telephone_number": "973-589-3566",
"fax_number": "973-589-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC",
"first_name": "FEMINIA",
"middle_name": "CASTRO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "28330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "28330",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3921905",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.