Active NPI
Renee A Andreeff, PHYSICIAN ASSISTANT
- Physician Assistant
- Williamsville, NY
National Provider Identifier
1063567444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006750
- Practice address
- 295 Essjay Rd
Williamsville, NY 14221-8216 - Phone
- (716) 630-1000
- Fax
- (716) 630-1254
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006750 | NY | Primary |
Addresses
Primary practice location
295 Essjay Rd
Williamsville, NY 14221-8216
Mailing address
6255 Sheridan Dr
Suite 304
Williamsville, NY 14221-4836
Phone (716) 857-8666
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02238342 | Medicaid | NY | |
| 9511953 | Other | NY | INDEPENDENT HEALTH |
| 00026506202 | Other | NY | UNIVERA |
| 000570218003 | Other | NY | HEALTH NOW |
Other names 1
- Renee A Frydrych
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006750 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1063567444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 SHERIDAN DR",
"address_2": "SUITE 304",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214836",
"telephone_number": "716-857-8666",
"fax_number": "716-857-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 ESSJAY RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218216",
"telephone_number": "716-630-1000",
"fax_number": "716-630-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREEFF",
"first_name": "RENEE",
"middle_name": "A",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "006750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02238342",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9511953",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026506202",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000570218003",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "FRYDRYCH",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Williamsville, NY
- Delaine Felicia Anderson, MPH
- Donna Anderson, LPN
- Laura Marie Anderson, PHD
- Mark E Anderson, PT
- Ruth Ando, RN
- Melanie Andres, PA-C
- Andrew J. Siedlecki, M.D., PC (Siedlecki Cataract and Vision Care)
- Andrew M. Keogh Licensed Clincial Social Worker P.C.
- Andrew P. Giacobbe, M.D., P.C.
- Andrianette Gordon DDS PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.