Provider Demographics
NPI:1558331132
Name:FELDMAN, NATHANIEL SETH (MD)
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:SETH
Last Name:FELDMAN
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 1:211 W 61ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7832
Mailing Address - Country:US
Mailing Address - Phone:212-977-3100
Mailing Address - Fax:212-977-3475
Practice Address - Street 1:NEWTON MEDICAL CENTER
Practice Address - Street 2:175 HIGH ST
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860
Practice Address - Country:US
Practice Address - Phone:973-579-8321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04572600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P1023304OtherOXFORD
NY01208415Medicaid
98568OtherAETNA
98568OtherAETNA
NY01208415Medicaid