Provider Demographics
NPI:1538158613
Name:FELD, STEVEN M (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:FELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLAZA
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:ONE COOPER PLAZA
Practice Address - Street 2:DORRANCE BLDG ROOM 623
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-342-2491
Practice Address - Fax:856-342-7023
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03837100207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010045991OtherAMERICHOICE
NJ0104627000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1665853OtherAETNA
NJ1689304Medicaid
NJ0951412OtherCIGNA
NJ1770448OtherAETNA
NJ60035048OtherHORIZON NJ HEALTH
NJ0104627000OtherAMERIHEALTH/KEYSTONE/IBC
NJ0951412OtherCIGNA
NJD19021Medicare UPIN
NJ453660DSQMedicare PIN