Individual provider Active NPI

Dalia Frumkin, MD

  • Nephrology Physician
  • Rego Park, NY
National Provider Identifier
1164484135
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
209155 Issued in NY
Practice address
9715 64TH Rd Lowr Level
Rego Park, NY 11374-2250
Phone
(718) 830-3333
Fax
(718) 830-3722
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 209155 NY Primary

Addresses

Primary practice location

9715 64TH Rd Lowr Level
Rego Park, NY 11374-2250

Mailing address

30 E 37TH St Apt M1
New York, NY 10016-3013
Phone (718) 830-3333

Other identifiers 1

IdentifierTypeStateIssuer
02161388MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address daf9048@direct.nyp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001938 NY Practitioner - NephrologyPractitioner - Internal Medicine 3971588286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
State University of Ny Upstate Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rogosin Institute, Inc.Group PAC ID 2163312745, 25 clinicians

Practice addresses (Care Compare)

505 E 70TH St
FL 2
New York, NY 10021-4872
Phone (646) 317-0827

6620 Queens Blvd
Woodside, NY 11377-5119
Phone (212) 746-1578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Rogosin Institute Inc CurrentSince Mar 1, 2004 Accepting new patients
The Rogosin Institute, Inc Nephrology CurrentSince Mar 1, 2004 Accepting new patients
Forest Hills Hematology & Oncology PC PastSince Sep 10, 2017 Accepting new patients

Locations

12320 82nd Ave
Unit La
Kew Gardens, NY 11415
Phone (718) 830-3333

12320 82nd Ave
Kew Gardens, NY 11415
Phone (718) 830-3333

505 E 70th St
Fl 2
New York, NY 10021
Phone (212) 746-1578

Interoperability endpoints

  • Direct secure messaging: daf9048@direct.nyp.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1164484135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 37TH ST APT M1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163013",
            "telephone_number": "718-830-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 64TH RD LOWR LEVEL",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742250",
            "telephone_number": "718-830-3333",
            "fax_number": "718-830-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUMKIN",
        "first_name": "DALIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "209155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02161388",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "9715 64th Rd Lowr Level",
            "city": "Rego Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113742250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "9715 64th Rd Lowr Level",
            "city": "Rego Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113742250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daf9048@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "9715 64th Rd Lowr Level",
            "city": "Rego Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113742250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.