Provider Demographics
NPI:1912969809
Name:DAVID N FELDMAN MD LLC
Entity Type:Organization
Organization Name:DAVID N FELDMAN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-503-0447
Mailing Address - Street 1:25 ROCKWOOD PL
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4957
Mailing Address - Country:US
Mailing Address - Phone:201-503-0447
Mailing Address - Fax:201-567-4039
Practice Address - Street 1:25 ROCKWOOD PL
Practice Address - Street 2:4TH FLOOR
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4957
Practice Address - Country:US
Practice Address - Phone:201-503-0447
Practice Address - Fax:201-567-4039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDD7483OtherRAILROAD MEDICARE GROUP#
NJ=========OtherTAX IDENTIFICATION#
NJ5428990001Medicare NSC
NJDD7483OtherRAILROAD MEDICARE GROUP#