Active NPI 1417989682 Individual Practitioner Male Practitioner

Dr. Jay Mitchell Feder , MD

General Practice • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jay Feder, MD is a registered healthcare professional specializing in General Practice in Fairfax, VA. Practice services are available at 3611 SWEETHORN CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3611 Sweethorn Ct

Fairfax, VA 220331226

Telephone 7035172415

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fairfax, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Fairfax, VA (440 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101044480

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License NY 233752

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License NJ 25MA08982700

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02798507 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 19, 2015

Registered at 3611 SWEETHORN CT, FAIRFAX, VA 220331226 (Tel: 7035172415)

📍

Updated Business Mailing Address May 19, 2015

Registered at 3611 SWEETHORN CT, FAIRFAX, VA 220331226 (Tel: 7035172415)

👤

Provider Name / Credentials Updated May 19, 2015

Recorded as JAY FEDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2015

Radiology (License #25MA08982700 in NJ)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417989682

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2006

Last Update: May 19, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3611 Sweethorn Ct

Fairfax, VA 220331226

Phone: 7035172415

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.