Active NPIIndividual provider

Michael Feldman, PA-C

Nurse Practitioner, Psych/Mental Health in Montclair, New Jersey

NPI Number1417459876
Practice location
94 Valley RD Fl 2, Montclair, NJ 07042-2211
Fax
—
Last updated
January 5, 2024

Michael Feldman is a Nurse Practitioner, Psych/Mental Health based in Montclair, NJ. Michael Feldman practices in Montclair, NJ and has the professional credentials of PA-C. The NPI Number for Michael Feldman is 1417459876 and holds a License No. 25MP00459100 (NJ). The current practice location address for Michael Feldman is 94 Valley RD Fl 2, Montclair, NJ 07042-2211 and can be reached out via phone at 201-731-6244.

Provider Profile Details

NPI Number
1417459876
Provider Name
Michael Feldman
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
94 Valley RD Fl 2, Montclair, NJ 07042-2211
Phone Number
201-731-6244
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
March 1, 2018
Last Update Date
January 5, 2024
Certification Date
December 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Valley RD Fl 2
Montclair, NJ 07042-2211
Zip
07042-2211
Phone Number
201-731-6244
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
553 S Maple Ave
Glen Rock, NJ 07452-1817
City
Glen Rock
State
NJ
Zip
07452-1817
Phone Number
609-903-1822

License Information

License Number (1)
25MP00459100
License State (1)
NJ
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
25MP00459100
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
0211611
License State (3)
NY
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X
License Number (4)
021611
License State (4)
NY
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (5)
25MP00459100
License State (5)
NJ
Taxonomy (5)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Feldman, PA-C?

The NPI number of Michael Feldman, PA-C is 1417459876. It was assigned on March 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Michael Feldman, PA-C?

Michael Feldman, PA-C is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 25MP00459100.

Where does Michael Feldman, PA-C practice?

The practice location is 94 Valley RD Fl 2, Montclair, NJ 07042-2211. The office can be reached at 201-731-6244 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417459876 directly on the NPPES registry website.

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