Healthcare Provider Details

I. General information

NPI: 1023087533
Provider Name (Legal Business Name): ROBIN YONNA FEIGELIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 PASCACK RD SUITE 10
PARK RIDGE NJ
07656-1942
US

IV. Provider business mailing address

74 PASCACK RD STE 10
PARK RIDGE NJ
07656-1942
US

V. Phone/Fax

Practice location:
  • Phone: 201-573-9266
  • Fax: 201-573-8082
Mailing address:
  • Phone: 201-573-9266
  • Fax: 201-573-8082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA051426
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number159664
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA05142600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number159664
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: