DR. MICHAEL JOSEPH FEDAK (NPI# 1457603086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457603086 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEPH FEDAK |
| Credential | M.D. |
| Practice Address |
655 Park Ave New York NY 10065-5937 |
| Practice Telephone | 2123962888 |
| Mailing Telephone | 2123962888 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 134691 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
134691 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
134691 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548375751 | Michael J. Fedak | Pediatrics | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-08-20 |
| 1174514384 | Michael Fedak | Internal Medicine | 13303 Tesson Ferry Rd, Suite 150, Saint Louis, MO 63128-4062 | 2005-11-04 |
| Street Address |
655 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750309829 | David Hidalgo | Specialist | 655 Park Ave, New York, NY 10021-5937 | 2006-07-17 |
| 1427302397 | Melissa A. Doft Md Pllc | Clinic/Center | 655 Park Ave, New York, NY 10065-5937 | 2012-10-31 |
| 1346474418 | Scott B Wells Md PC | Plastic Surgery | 655 Park Ave, Netc, New York, NY 10065-5985 | 2009-05-05 |
| 1417155565 | Aesthetics & Plastic Surgery of Park Ave Pllc | Clinic/Center | 655 Park Ave, Suite Netc, New York, NY 10065-5937 | 2007-07-10 |
| 1376638163 | Scott Brian Wells | Plastic Surgery | 655 Park Ave, Suite Netc, New York, NY 10021-5937 | 2006-10-04 |
| 1588683528 | Adam R Kolker | Plastic Surgery | 655 Park Ave, Suite Nec, New York, NY 10021-5937 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1154948016 | Andrew Timothy Mclean | Student in an Organized Health Care Education/Training Program | Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 | 2020-06-26 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1114548245 | Mohamed Medhat Soliman | Student in an Organized Health Care Education/Training Program | 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 | 2020-04-29 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1134788557 | Marvin Herbert Braun | Student in an Organized Health Care Education/Training Program | Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 | 2019-06-10 |
| 1356907356 | Andrew Garton | Student in an Organized Health Care Education/Training Program | New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 | 2019-05-15 |
| 1104481845 | Rana Abualsaud | Student in an Organized Health Care Education/Training Program | New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 | 2019-05-08 |
| Find all providers in zip 10065 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850276 | Nyc Psychiatric Associates | Psychiatry & Neurology | 385 5th Ave Rm 1106, New York, NY 10016-3340 | 2020-10-30 |
| 1730706169 | Scott Dibartolo | Psychiatry & Neurology | 426 W 45th St Apt 5fe, New York, NY 10036-9066 | 2020-07-01 |
| 1104449701 | Clear Minds Nyc, LLC | Psychiatry & Neurology | 210 E 121st St Apt 2m, New York, NY 10035-3053 | 2020-05-19 |
| 1215556774 | Allexian, LLC | Psychiatry & Neurology | 418 E 71st St Ph Fl, New York, NY 10021-4894 | 2020-04-14 |
| 1427682350 | Brian Francis Esposito | Psychiatry & Neurology | 435 E 70th St Apt 27h, New York, NY 10021-5349 | 2020-02-29 |
| 1255979902 | Yuli Fradkin Md LLC | Psychiatry & Neurology | 315 W 57th St Ste 401, New York, NY 10019-3147 | 2019-12-12 |
| 1477196822 | Martijn Figee | Psychiatry & Neurology | 1000 10th Ave # 10g-44, New York, NY 10019-1147 | 2019-10-17 |
| 1033750823 | Mccd Psychiatry Services Pllc | Psychiatry & Neurology | 109 W 27th St # 5s, New York, NY 10001-6208 | 2019-10-02 |
| 1366093783 | James Halper Md | Psychiatry & Neurology | 41 W 72nd Street, 1c, New York, NY 10023-3476 | 2019-09-26 |
| 1891349635 | Veerle Bergink | Psychiatry & Neurology | 1425 Madison Ave # L4-34, New York, NY 10029-6514 | 2019-07-30 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.