Active NPIIndividual providerSole proprietor

Dr. Andre A Fedida, MD

Internal Medicine, Gastroenterology in Newark, New Jersey

NPI Number1891839312
Practice location
306 Martin Luther King Jr Blvd, 4TH Floor, Newark, NJ 07102-2011
Fax
973-877-2578
Last updated
July 8, 2007

Andre Armand Fedida is an Internal Medicine, Gastroenterology based in Newark, NJ. Andre Armand Fedida practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Andre Armand Fedida is 1891839312 and holds a License No. MA054073 (NJ). The current practice location address for Andre Armand Fedida is 306 Martin Luther King Jr Blvd, 4TH Floor, Newark, NJ 07102-2011 and can be reached out via phone at 973-877-2580 and via fax at 973-877-2578.

Provider Profile Details

NPI Number
1891839312
Provider Name
Andre Armand Fedida
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
306 Martin Luther King Jr Blvd, 4TH Floor, Newark, NJ 07102-2011
Phone Number
973-877-2580
Fax Number
973-877-2578
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
February 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
306 Martin Luther King Jr Blvd
4TH Floor
Newark, NJ 07102-2011
City
Newark
Zip
07102-2011
Phone Number
973-877-2580
Fax Number
973-877-2578
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
306 Martin Luther King Jr Blvd
4TH Floor
Newark, NJ 07102-2011
City
Newark
State
NJ
Zip
07102-2011
Phone Number
973-877-2580
Fax Number
973-877-2578

License Information

License Number
MA054073
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · 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 Dr. Andre A Fedida, MD?

The NPI number of Dr. Andre A Fedida, MD is 1891839312. It was assigned on February 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Andre A Fedida, MD?

Dr. Andre A Fedida, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number MA054073.

Where does Dr. Andre A Fedida, MD practice?

The practice location is 306 Martin Luther King Jr Blvd, 4TH Floor, Newark, NJ 07102-2011. The office can be reached at 973-877-2580 (phone) or 973-877-2578 (fax).

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 1891839312 directly on the NPPES registry website.

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