Individual provider Active NPI

Katherine Frederick-Galarza, MD

  • Pediatrics Physician
  • Scarsdale, NY
National Provider Identifier
1275695173
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
207768 Issued in NY
Practice address
531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000
Phone
(914) 472-3333
Fax
(914) 472-7247
NPI assigned
Dec 15, 2006
Last updated
Mar 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 207768 NY Primary

Addresses

Primary practice location

531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000

Mailing address

531 Central Park Ave
Suite 102
Scarsdale, NY 10583-1000
Phone (914) 472-3333

Other identifiers 1

IdentifierTypeStateIssuer
207768OtherNYLICENSE NUMBER

Other names 1

  • Katherine Frederick Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207768NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Pediatrics Pediatrics Past Accepting new patients
Westchester Health Associates, P.L.L.C Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1275695173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 CENTRAL PARK AVE",
            "address_2": "SUITE 102",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831000",
            "telephone_number": "914-472-3333",
            "fax_number": "914-472-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 CENTRAL PARK AVE",
            "address_2": "SUITE 102",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831000",
            "telephone_number": "914-472-3333",
            "fax_number": "914-472-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK-GALARZA",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "207768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "207768",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FREDERICK",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.