Active NPI
Jeremie Frasier
- Hearing Instrument Specialist
- Clifton Park, NY
National Provider Identifier
1083026736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 14000040963
- Practice address
- 19 Clifton Country Rd
Clifton Park, NY 12065-3820 - Phone
- (518) 280-9211
- NPI assigned
- May 29, 2014
- Last updated
- May 30, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 14000040963 | NY | Primary |
Addresses
Primary practice location
19 Clifton Country Rd
Clifton Park, NY 12065-3820
Mailing address
19 Clifton Country Rd
Clifton Park, NY 12065-3820
Phone (518) 280-9211
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14000040963 | NY | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401408000000",
"number": "1083026736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CLIFTON COUNTRY RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653820",
"telephone_number": "518-280-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 CLIFTON COUNTRY RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653820",
"telephone_number": "518-280-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASIER",
"first_name": "JEREMIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NY",
"license": "14000040963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.