Healthcare Provider Details

I. General information

NPI: 1982667317
Provider Name (Legal Business Name): DAVID NATHAN FELDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 ROCKWOOD PL 4TH FLOOR
ENGLEWOOD NJ
07631-4957
US

IV. Provider business mailing address

25 ROCKWOOD PL 4TH FLOOR
ENGLEWOOD NJ
07631-4957
US

V. Phone/Fax

Practice location:
  • Phone: 201-503-0447
  • Fax: 201-567-4039
Mailing address:
  • Phone: 201-503-0447
  • Fax: 201-567-4039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberMA055066
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: