Freccero Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FRECCERO MEDICAL ASSOCIATES PC

Practice address

77 Byron Ave
Brockton, MA 02301-4201

Phone

(508) 583-7595

Fax

(508) 559-2278

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Robyn Fay

Title

Director

Phone

(508) 638-2532

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Edward Francis Freccero, MD

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1679665442
  Medicare reassignment NPD
• Denise M Hayes, RN/NP

  • Nurse Practitioner
  • Boston, MA
  • NPI 1073887832
  NPD (past)
• Shelley Lynch, CNP

  • Family Nurse Practitioner
  • Norwell, MA
  • NPI 1972971273
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1124315056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BYRON AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014201",
            "telephone_number": "508-583-7595",
            "fax_number": "508-559-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BYRON AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014201",
            "telephone_number": "508-583-7595",
            "fax_number": "508-559-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRECCERO MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-638-2532",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3191575",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "66675",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M19070",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3078300",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J16953",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0403406",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTHCARE",
            "identifier": "15454",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0077646",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trina J Frank
• Shavon Franks
• Renee Lynn Franzis
• Rachel Ann Fratalia, RN
• Kenneth A. Frausto, M.D.
• Edward Francis Freccero, MD
• Jeanney Frederic
• Annmarie Fredericks, N.P.
• Niki Ann French
• Sarah Jane French, RN

• Internal Medicine Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.