Provider Demographics
NPI:1972037729
Name:FEDER, OREN ISRAEL (MD)
Entity type:Individual
Prefix:DR
First Name:OREN
Middle Name:ISRAEL
Last Name:FEDER
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 1:201 ROUTE 17 FL 1202
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2557
Mailing Address - Country:US
Mailing Address - Phone:201-975-2323
Mailing Address - Fax:201-975-2325
Practice Address - Street 1:201 ROUTE 17
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2574
Practice Address - Country:US
Practice Address - Phone:201-975-2323
Practice Address - Fax:201-975-2325
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA291144207X00000X
390200000X
NJ25MA11924500207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program