DR. THOMAS EDWARD FEALEY M.D.
NPI 1871676841
Specialist in Staten Island, NY

Active since October 23, 2006PECOS Enrolled
723 BROADWAY, STATEN ISLAND, NY 10310(718) 448-4747 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Edward Fealey M.d. NPPES

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

DR. THOMAS EDWARD FEALEY M.D. (NPI 1871676841) is an individual specialist in Staten Island, New York, licensed in New York (147651) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871676841
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. THOMAS EDWARD FEALEYCredential: M.D.
Location Address723 BROADWAYStaten Island, NY 10310-2833
Mailing Address723 BroadwayStaten Island, NY 10310-2833 · (718) 448-4747
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1871676841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 147651
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
723 BROADWAY, Staten Island, NY 10310

Other Identifiers 2

Medicare UPINB19157NY
Medicare ID-Type Unspecified74A811NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thomas Edward Fealey M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Thomas Fealey's NPI number?

The NPI number for Thomas Fealey is 1871676841. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Thomas Fealey located?

Thomas Fealey practices at 723 Broadway, Staten Island, NY 10310. The listed phone number is (718) 448-4747.

What is Thomas Fealey's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Thomas Fealey enrolled in Medicare?

Yes. Thomas Fealey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Fealey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.