Jay Mitchell Feder, MD

General Practice Physician · Fairfax, VA

Individual Active NPI

NPI number 1417989682

Practice location

3611 Sweethorn Ct
Fairfax, VA 22033-1226
Phone
(703) 517-2415

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NPI record

NPI
1417989682
Entity type
Individual (Type 1)
Enumeration date
July 7, 2006
Last updated
May 19, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 0101044480 VA
Diagnostic Radiology Physician 2085R0202X 233752 NY
Diagnostic Radiology Physician 2085R0202X 25MA08982700 NJ

About Dr. Feder

Jay Mitchell Feder, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 3611 Sweethorn Ct, Fairfax, VA 22033-1226. The NPI number 1417989682 was assigned on July 7, 2006 and the record was last updated on May 19, 2015.

Dr. Feder lists 3 licenses in the registry: #0101044480 (VA) for General Practice Physician; #233752 (NY) for Diagnostic Radiology Physician; #25MA08982700 (NJ) for Diagnostic Radiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Mitchell Feder, MD?

The NPI number is 1417989682.

What is the phone number of Dr. Feder?

The phone number listed for the practice location is (703) 517-2415.

Where is Dr. Feder located?

3611 Sweethorn Ct, Fairfax, VA 22033-1226.

What is the taxonomy code for Dr. Feder?

The primary taxonomy code is 208D00000X – General Practice Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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