Individual provider Active NPI

Frederique Jean Marie-Schmitt, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Jamaica, NY
National Provider Identifier
1063644557
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
011218 Issued in NY
Practice address
16633 89TH Ave
Suite 1M
Jamaica, NY 11432-4255
Phone
(516) 851-6794
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011218 NY Primary

Addresses

Primary practice location

16633 89TH Ave
Suite 1M
Jamaica, NY 11432-4255

Mailing address

38 East Lincoln Avenue
Massapequa, NY 11758-7741
Phone (347) 639-9192

Other names 1

  • Ms. Frederique Jean Marie Former name

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

LicenseStateTypeSpecialty
011218NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Medical Family Practice PC PastSince Apr 30, 2023 Accepting new patients
Ag Urgent Care, P.C. PastSince Apr 30, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1063644557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 EAST LINCOLN AVENUE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587741",
            "telephone_number": "347-639-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 89TH AVE",
            "address_2": "SUITE 1M",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324255",
            "telephone_number": "516-851-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN MARIE-SCHMITT",
        "first_name": "FREDERIQUE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERIQUE",
            "last_name": "JEAN MARIE",
            "prefix": "MS.",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.