Provider Demographics
NPI:1407968910
Name:FEINBERG, HERBERT S (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:S
Last Name:FEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4104
Mailing Address - Country:US
Mailing Address - Phone:201-568-6977
Mailing Address - Fax:201-568-7567
Practice Address - Street 1:363 GRAND AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4104
Practice Address - Country:US
Practice Address - Phone:201-568-6977
Practice Address - Fax:201-568-7567
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA20246174400000X, 207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No174400000XOther Service ProvidersSpecialist
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ20057OtherRR MCR TRAVELERS
NJ27282AOtherMAGNACARE
NJ0K1300OtherHEALTHNET
NJ579064OtherAETNA/USHC
NJ3159018OtherCIGNA
NJP404396OtherOXFORD
NJ095547A1QMedicare ID - Type Unspecified
NJ27282AOtherMAGNACARE
NJ579064OtherAETNA/USHC