Basic Information
Provider Information
NPI: 1972891547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FEINSTEIN
FirstName: ERIN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 90 BERGEN ST
Address2: SUITE 5200
City: NEWARK
State: NJ
PostalCode: 071032425
CountryCode: US
TelephoneNumber: 9739725499
FaxNumber: 9739725059
Practice Location
Address1: 90 BERGEN ST
Address2: SUITE 5200
City: NEWARK
State: NJ
PostalCode: 071032425
CountryCode: US
TelephoneNumber: 9739725499
FaxNumber: 9739725059
Other Information
ProviderEnumerationDate: 07/18/2011
LastUpdateDate: 02/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X280595NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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