Fradlis Medical Care PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

207428 Issued in NY

Legal business name

FRADLIS MEDICAL CARE PC

Practice address

2829 Ocean Pkwy
Brooklyn, NY 11235-7858

Phone

(718) 891-6500

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Iosif Frdalis, M.D.

Title

Prsident

Phone

(718) 891-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iosif Fradlis, MD

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1376556613
  NPD (past)
• Klara Fradlis, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1710181110
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1083692230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 MICHELLE PL",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "115813041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357858",
            "telephone_number": "718-891-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRADLIS MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "FRDALIS",
        "authorized_official_first_name": "IOSIF",
        "authorized_official_title_or_position": "PRSIDENT",
        "authorized_official_telephone_number": "718-891-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "207428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• FP Applied Behavior Analysis PLLC
• Jessica Fracasse
• Frackowiak Barbara MD
• Alyssa Fradenburg, LCSW
• Fradlis General Medicine PC
• Iosif Fradlis, MD
• Klara Fradlis, M.D.
• Gabrielle Fragala
• Fraidy Miller
• Marina Fraiman

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.