Organization Active NPI

Joseph Frager, M.D. P.C.

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1114246733
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
JOSEPH FRAGER, M.D. P.C.
Practice address
277 Van Cortlandt Ave E
Bronx, NY 10467-3011
Phone
(718) 798-8867
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Joseph Daniel Frager, MD
Title
President
Phone
(718) 798-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

277 Van Cortlandt Ave E
Bronx, NY 10467-3011

Mailing address

277 Van Cortlandt Ave E
Bronx, NY 10467-3011
Phone (718) 798-8867

Other identifiers 13

IdentifierTypeStateIssuer
21B591OtherNYBC/BS
3432677-1OtherNY1199
00920498MedicaidNY
0H1598OtherNYPHS
152389-A14OtherNYHEALTH FIRST
GS035OtherNYOXFORD
0036468OtherNYGHI
1163743OtherNYCIGNA
683547OtherNYUNITED HEALTHCARE
111707OtherNYAETNA
27861POtherNYHIP
152389SOtherNYHEALTH CARE PARTNERS
2270371OtherNYAETNA P

National Provider Directory

National Provider Directory

Locations

22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1114246733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 VAN CORTLANDT AVE E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673011",
            "telephone_number": "718-798-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 VAN CORTLANDT AVE E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673011",
            "telephone_number": "718-798-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH FRAGER, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "FRAGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-798-8867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "21B591",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "3432677-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00920498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "0H1598",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "152389-A14",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GS035",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0036468",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1163743",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "683547",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "111707",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "27861P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PARTNERS",
            "identifier": "152389S",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA P",
            "identifier": "2270371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.