DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAY MITCHELL FEDER, MD

Active

DR. JAY MITCHELL FEDER, MD is a General Practice healthcare provider located in FAIRFAX, Virginia. NPI 1417989682 is currently active in the NPPES registry. Verify at CMS.

General Practice · FAIRFAX, VA

Registration Details

NPI Number
1417989682
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (20.099762059067 yrs)
Last Updated
May 19, 2015
Licenses
233752 (NY)
25MA08982700 (NJ)
0101044480 (VA)

Practice Information

Address
3611 SWEETHORN CT
FAIRFAX, VA, 220331226
Browse VA providers · Browse ZIP 22033
Phone
7035172415
Primary Specialty
General Practice
208D00000X
Additional Specialty
Diagnostic Radiology
Additional Specialty
General Practice

Other General Practice Providers in FAIRFAX, VA

Name Credential NPI
DR. THANH MINH DO D.O. 1902854250
MS. HODA K MAKKAWI M.D. 1144265216
ANOUSHIRVAN REZAYE SARRAF MD 1134303423
SHADI AYYAS MD 1629490172
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.