Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Feldman, PA-C

Individual provider Psychiatry Physician · NPI 1417459876

Michael Feldman, PA-C is a Physician Assistant in Montclair, New Jersey. Qualified in 2017, 9 years ago. Practices with Yuli Fradkin MD LLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
9
Licensed in
NJ, NY
In the registry since
2018
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

94 Valley Rd Fl 2
Montclair, NJ 07042-2211
Phone: (201) 731-6244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 440 West St # 303, Fort Lee, NJ 07024-5028 — (201) 731-6244

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 25MP00459100 (NJ)
Psychiatry Physician Taxonomy 2084P0800X · Licence 25MP00459100 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00459100 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0211611 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 021611 (NY)

Record details

NPI number1417459876
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESJanuary 5, 2024
Certification dateDecember 13, 2023
Mailing address553 S Maple Ave, Glen Rock, NJ 07452-1817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Yuli Fradkin Md Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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