MEDICARE: DR. ERIC JAMES FELDMANN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	C1-0029024	DE
2	2085R0202X	Diagnostic Radiology Physician	259952	NY

General Provider Information

NPI Number	:	1174781322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC JAMES FELDMANN MD

Provider Business Mailing Address
First Line	:	1 CENTURIAN DR STE 107
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19713-2154
Country	:	US
Telephone Number	:	800-499-6202
Fax Number	:	302-461-2000

Provider Business Practice Location Address
First Line	:	STONY BROOK UNIVERSITY HOSPITAL
Second Line	:	DEPT OF RADIOLOGY
City	:	STONY BROOK
State	:	NY
Zip	:	11794-0001
Country	:	US
Telephone Number	:	631-444-2484
Fax Number	:	631-444-7538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2008
Last Update Date	:	02/19/2026

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