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DR. JAY MITCHELL FEDER MD
NPI 1417989682
General Practice in Fairfax, VA

Active since July 07, 2006
3611 SWEETHORN CT, FAIRFAX, VA 22033(703) 517-2415 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jay Mitchell Feder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY MITCHELL FEDER MD (NPI 1417989682) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (0101044480) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417989682
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JAY MITCHELL FEDERCredential: MD
Location Address3611 SWEETHORN CTFairfax, VA 22033-1226
Mailing Address3611 Sweethorn CtFairfax, VA 22033-1226 · (703) 517-2415
Phone(703) 517-2415
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 19, 2015
✔ NPI 1417989682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101044480
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 233752 (NY), 25MA08982700 (NJ)
3611 SWEETHORN CT, Fairfax, VA 22033
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Other Identifiers 3

Medicaid02798507NY
Medicare PIN783T81NY
Medicare UPIND35615NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Feder's NPI number?

The NPI number for Jay Feder is 1417989682. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Jay Feder located?

Jay Feder practices at 3611 Sweethorn Ct, Fairfax, VA 22033. The listed phone number is (703) 517-2415.

What is Jay Feder's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jay Feder was last updated on May 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.