Active NPI
Frederic Robert Newman, M.D.
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1164431490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 111093
- Practice address
- 303 Mercer St
Apt # B604
New York, NY 10003 - Phone
- (973) 423-4400
- Fax
- (973) 423-5643
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 111093 | NY | Primary |
| Ophthalmology Physician | 207W00000X | MA033898 | NJ |
Addresses
Primary practice location
303 Mercer St
Apt # B604
New York, NY 10003
Mailing address
303 Mercer St.
Apt #B604
New York, NY 10003
Phone (212) 533-1199
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441183589 | Other | NJ | RAILROAD MEDICARE |
| 199977 | Other | NJ | AMERIHEALTH PPO |
| 4405573 | Other | NJ | AETNA |
| PS028 | Other | NJ | OXFORD |
| 0092078000 | Other | NJ | AMERIHEALTH HMO |
| 41231 | Other | NJ | US HEALTHCARE |
| 0000729 | Other | NJ | GHI |
| 0K7443 | Other | NJ | HEALTH NET |
| 29572 | Other | NJ | EMPIRE BS |
| 0727601 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110405000510 | NJ | Practitioner - Ophthalmology | 0042494791 | Practice locations: Hawthorne, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA033898 | NJ | MD | Ophthalmology Physician |
| 111093 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1164431490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MERCER ST.",
"address_2": "APT #B604",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-533-1199",
"fax_number": "973-423-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MERCER ST",
"address_2": "APT # B604",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "973-423-4400",
"fax_number": "973-423-5643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "FREDERIC",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "111093",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "MA033898",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "441183589",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "199977",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4405573",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "PS028",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0092078000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "41231",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0000729",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0K7443",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BS",
"identifier": "29572",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0727601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.