Healthcare Provider Details

I. General information

NPI: 1821218728
Provider Name (Legal Business Name): MICHAEL Z FEIN DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 S MAIN ST SUITE 8
NEWTOWN CT
06470-2315
US

IV. Provider business mailing address

PO BOX 825159
PHILADELPHIA PA
19182-5159
US

V. Phone/Fax

Practice location:
  • Phone: 203-270-6724
  • Fax: 203-270-6728
Mailing address:
  • Phone: 203-755-0489
  • Fax: 203-755-7523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number548
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number548
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number548
License Number StateCT

VIII. Authorized Official

Name: MICHAEL Z FEIN
Title or Position: DPM/OWNER
Credential:
Phone: 203-743-7083