Provider Demographics
NPI:1518372663
Name:MICHAEL L FELD
Entity Type:Organization
Organization Name:MICHAEL L FELD
Other - Org Name:FELD FAMILY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-625-2099
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-0066
Mailing Address - Country:US
Mailing Address - Phone:973-625-2099
Mailing Address - Fax:973-625-2692
Practice Address - Street 1:126 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3307
Practice Address - Country:US
Practice Address - Phone:973-625-2099
Practice Address - Fax:973-625-2692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU64552Medicare UPIN