Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jay Mitchell Feder, MD

Individual provider Diagnostic Radiology Physician · NPI 1417989682

Dr. Jay Mitchell Feder, MD is a Diagnostic Radiology Physician in Fairfax, Virginia. Licensed in New Jersey, New York and Virginia. Registered with an NPI since 2006.

Licensed in
NJ, NY, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3611 Sweethorn Ct
Fairfax, VA 22033-1226
Phone: (703) 517-2415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101044480 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 233752 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA08982700 (NJ)

Record details

NPI number1417989682
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESMay 19, 2015
Mailing address3611 Sweethorn Ct, Fairfax, VA 22033-1226

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