Active NPI
Charlotte Isabel Freytag, PA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 911 Park Ave Apt 1a
New York, NY 10075-0385 - Phone
- (212) 772-7242
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
911 Park Ave Apt 1a
New York, NY 10075-0385
Mailing address
82 Washington PL Apt 4F
New York, NY 10011-9115
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
220 Front St
New York, NY 10038-2033
Phone (212) 385-3700
278 Court St
Brooklyn, NY 11231-4432
Phone (212) 385-3700
530 E 74TH St
New York, NY 10021-3402
Phone (646) 608-3623
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.77 of 100
- Quality
- 84.67
- Improvement activities
- 40
- Cost
- 66.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028650 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobby Buka, M.D., P.C. | Current | Accepting new patients | |
| Out East Medical | Past | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients | |
| Derm Specs of PA PLLC | Past | Accepting new patients | |
| Atlas Infectious Disease Practice PLLC | Past | Accepting new patients | |
| Sadick Aesthetic Surgery and Dermatology | Past | Accepting new patients |
Locations
3179 Steinway St
Astoria, NY 11103
1163 Myrtle Ave
Brooklyn, NY 11206
1027 46th Ave
Fl 1
Long Island City, NY 11101
625 10th Ave
New York, NY 10036
214 Sullivan St
New York, NY 10012
2121 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (718) 534-8190
1425 2nd Ave
New York, NY 10021
3531 Long Beach Rd
Oceanside, NY 11572
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BFCDAA
- cfreytag29217@mskcc.direct-ci.com
Organizations & group practices 7
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.
-
- Dermatology Physician
- New York, NY
- NPI 1134349954
-
- Dermatology Physician
- New York, NY
- NPI 1235100793
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- Dermatology Physician
- Oceanside, NY
- NPI 1730757311
-
- Dermatology Physician
- New York, NY
- NPI 1699920116
-
- Infectious Disease Physician
- Atlantis, FL
- NPI 1326655846
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1528823507
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- Special Hospital
- New York, NY
- NPI 1770046351
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1225762081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 WASHINGTON PL APT 4F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100119115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 PARK AVE APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750385",
"telephone_number": "212-772-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREYTAG",
"first_name": "CHARLOTTE",
"middle_name": "ISABEL",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 15, 2022; 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.