Jeremy J Frederick, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

246451 Issued in NY

Practice address

320 E 91St St
Apt 5FW
New York, NY 10128-6026

Phone

(646) 643-4556

Fax

(212) 555-1234

NPI assigned

Jun 28, 2007

Last updated

Aug 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

New York University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sedation Vacation Perioperative Medicine PLLCGroup PAC ID 1759658594, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
• Direct secure messaging: jfrederick593001@nyumc.direct-ci.com

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.

• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment Care Compare group NPD
• Advantagecare Physicians PC

  dba AdvantageCare Physicians

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment NPD
• Centurion Brooklyn Anesthesia PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Valley Stream, NY
  • NPI 1457757072
  Medicare reassignment NPD
• Gastrointestinal Care of Long Island PLLC

  dba Allied Digestive Health Medical Group of New York

  • Gastroenterology Physician
  • Massapequa, NY
  • NPI 1265571863
  Medicare reassignment NPD
• Igor Amigud Physician P.C.

  • Specialist
  • New York, NY
  • NPI 1245337989
  Medicare reassignment NPD
• R&N Anesthesia PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1447657275
  Medicare reassignment NPD
• Star Suites LLC

  dba Star Surgical Suites LLC

  • Ambulatory Surgical Clinic/Center
  • Garden City, NY
  • NPI 1023588266

  Anesthesiology

  Medicare reassignment NPD
• Jeremy J Frederick MD PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1659711174
  Authorized official Same address or phone
• Patients First Medical, P.C.

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1154790160
  Authorized official Same address or phone
• Advantagecare Physicians PC

  dba AdvantageCare Physicians Urgent Care

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113
  NPD
• Noam Kurtis MD PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1881949055
  NPD
• Glacier Cryo Medical P.C

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1689889974
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1174720726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 91ST ST",
            "address_2": "APT 5FW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286026",
            "telephone_number": "646-643-4556",
            "fax_number": "212-555-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 91ST ST",
            "address_2": "APT 5FW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286026",
            "telephone_number": "646-643-4556",
            "fax_number": "212-555-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JEREMY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "246451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Rutkovsky MD PC
• Frederick S Mendelsohn MD PC
• Hazel Beverly Frederick-McMillan
• Aquilla Frederick, M.B.A., L.M.S.W.
• Gladys Frederick
• Mary Margaret Frederick, PH.D.
• Nicole Marie Frederick, L.AC
• Shauna Louise Cynthia Frederick, LMSW
• Tamara Frederick, CASAC
• John M Fredericks Jr., LPN

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.