Physician Compare National (NPI:1083635775)

HEALTHCARE PROVIDER: ROBERT P FELDMAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1083635775
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204951346
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100914000308
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FELDMAN
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	VASCULAR SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	218 RONALD REAGAN BLVD
	Group Practice or individual's line 1 address
City	WARWICK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	109904107
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8459867830
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330205
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST ANTHONY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330126
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ORANGE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y