Healthcare Provider Details

I. General information

NPI: 1114961851
Provider Name (Legal Business Name): ALAN J FELDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 NEW RD STE E2
LINWOOD NJ
08221-1052
US

IV. Provider business mailing address

2106 NEW RD STE E2
LINWOOD NJ
08221-1052
US

V. Phone/Fax

Practice location:
  • Phone: 609-728-0025
  • Fax: 609-359-1368
Mailing address:
  • Phone: 609-728-0025
  • Fax: 609-359-1368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA03322300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: