Individual provider Active NPI

Fraida Streiter, PA-C

  • Medical Physician Assistant
  • Roslyn, NY
National Provider Identifier
1154099539
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
027109 Issued in NY
Practice address
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone
(516) 562-6000
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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 027109 NY Primary

Addresses

Primary practice location

100 Port Washington Blvd
Roslyn, NY 11576-1347

Mailing address

700 Shore Rd Apt 4Aa
Long Beach, NY 11561-4797
Phone (347) 387-4146

Other practice location 1

1907 Border Ave
Torrance, CA 90501-3606
Phone (844) 443-6246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220124000519 NY Practitioner - Physician Assistant 6608268792 Reassigns benefits to 3 organizations
I20251104004135 CA Practitioner - Physician Assistant 6608268792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical Care PCGroup PAC ID 0042694549, 5 clinicians

Practice addresses (Care Compare)

685 3Rd Ave
FL 9
New York, NY 10017-4151
Phone (866) 349-4230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66487CAMDPharmacist
027109NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos a. Smith, M.D, Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Mobile Medical Healthcare, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

1907 Border Ave
Torrance, CA 90501
Phone (585) 278-0502

156 1st St
Mineola, NY 11501
Phone (516) 741-4082

685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770

35 W 35th St
Fl 4
New York, NY 10001
Phone (844) 553-6246

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: fraida.streiter.3@24989.direct.athenahealth.com

Organizations & group practices 4

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1154099539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHORE RD APT 4AA",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614797",
            "telephone_number": "347-387-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-562-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 Border Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905013606",
            "country_code": "US",
            "telephone_number": "844-443-6246",
            "fax_number": "833-907-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREITER",
        "first_name": "FRAIDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "027109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.