Individual provider Active NPI

Jason Moss Fritzhand, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1285758029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
212969 Issued in NY
Practice address
1776 Broadway FL 5
New York, NY 10019-2002
Phone
(212) 757-1157
Fax
(212) 757-7197
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 212969 NY Primary

Addresses

Primary practice location

1776 Broadway FL 5
New York, NY 10019-2002

Mailing address

10 Charlotte St
White Plains, NY 10606-3418
Phone (212) 757-1157

Other identifiers 1

IdentifierTypeStateIssuer
212969OtherNYNYS LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131108001467 NY Practitioner - Osteopathic Manipulative Medicine 8527074509 Reassigns benefits to 1 organization
I20211221000573 VT Practitioner - Physical Medicine and Rehabilitation 8527074509 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 1, 2015 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2022 Accepting new patients
New York University CurrentSince May 1, 2015 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2022 Accepting new patients
Dr. David N Lifschutz, MD Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Integrated Neurological Associates, PLLC Past Accepting new patients

Locations

57 W 57th St
Ste 1702
New York, NY 10019
Phone (212) 757-1157

16 1st Ave
New York, NY 10009
Phone (212) 420-4191

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Interoperability endpoints

  • Direct secure messaging: jfritzhand622864@direct.dartmouth-hitchcock.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285758029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHARLOTTE ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063418",
            "telephone_number": "212-757-1157",
            "fax_number": "212-757-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192002",
            "telephone_number": "212-757-1157",
            "fax_number": "212-757-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZHAND",
        "first_name": "JASON",
        "middle_name": "MOSS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "212969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE #",
            "identifier": "212969",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.