Provider Demographics
NPI:1023087533
Name:FEIGELIS, ROBIN YONNA (MD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:YONNA
Last Name:FEIGELIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 PASCACK RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PARK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07656-1942
Mailing Address - Country:US
Mailing Address - Phone:201-573-9266
Mailing Address - Fax:201-573-8082
Practice Address - Street 1:74 PASCACK RD
Practice Address - Street 2:SUITE 10
Practice Address - City:PARK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07656-1942
Practice Address - Country:US
Practice Address - Phone:201-573-9266
Practice Address - Fax:201-573-8082
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA051426207RC0000X, 207R00000X
NY159664207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049730401Medicaid
NJ540907Medicare ID - Type Unspecified
NJ049730401Medicaid