Kelly Fradin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

271362 Issued in NY

Practice address

36 E 57TH Street 5TH FL
New York, NY 10022

Phone

(212) 600-2000

Fax

(917) 722-1091

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.fradin.1@24265.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atria Physician Practice New York, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1194487520
  NPD
• Private Medical New York, PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1487203378

  Pediatrics

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1023306115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222500",
            "telephone_number": "212-600-2000",
            "fax_number": "212-540-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E 57TH STREET 5TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-600-2000",
            "fax_number": "917-722-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRADIN",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "271362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harriet Louise Fraad, ED.D
• Leslie Fraboni, PT
• John A Fracchia, MD
• Gabrielle Frackman, PHD
• Lawrence Fradera
• Judith Fradkin, DDS
• Laura E Frado, M.D.
• Peter Fraenkel, PHD
• Elena Fraga, RN
• Elizabeth Doris Fraga, PH.D.

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.