Individual provider Active NPI

Jaime Freyle, MD

  • Pediatric Urology Physician
  • Brooklyn, NY
National Provider Identifier
1295763902
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
241078 Issued in NY
Practice address
909 49TH St
Brooklyn, NY 11219-2923
Phone
(718) 283-7743
Fax
(718) 283-6603
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 002175 NY
Pediatric Urology Physician 2088P0231X 241078 NY Primary

Addresses

Primary practice location

909 49TH St
Brooklyn, NY 11219-2923

Mailing address

247 Route 100
Suite 1002
Somers, NY 10589-3231
Phone (914) 962-8290

Other identifiers 1

IdentifierTypeStateIssuer
2579871MedicaidNY

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
I20050308001056 NY Practitioner - Urology 4385698828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002175NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2023 Accepting new patients
New York University Pediatric Urology CurrentSince Oct 1, 2023 Accepting new patients
Maimonides Medical Center Current Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients
Pediatric Urology Associates of New Jersey, PC Past Accepting new patients

Locations

745 64th St
Ste 4
Brooklyn, NY 11220
Phone (718) 283-6903

1534 Victory Blvd
Staten Island, NY 10314
Phone (718) 447-0055

1534 Victory Blvd
Lowr
Staten Island, NY 10314
Phone (718) 987-3338

150 White Plains Rd
Ste 306
Tarrytown, NY 10591
Phone (914) 493-8628

Networks

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

Interoperability endpoints

  • Direct secure messaging: jfreyle218437@northwell.direct-ci.com
  • Direct secure messaging: jaime.freyle@pedsurology.eclinicaldirectplus.com
  • Direct secure messaging: jaime.freyle.p1@direct.mmc.nextgenshare.com
  • Direct secure messaging: jfreyle308016@nyumc.direct-ci.com
  • Direct secure messaging: jaimefreyle@mai.allscriptsdirect.net

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1295763902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 ROUTE 100",
            "address_2": "SUITE 1002",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893231",
            "telephone_number": "914-962-8290",
            "fax_number": "914-962-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-7743",
            "fax_number": "718-283-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYLE",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "002175",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "241078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2579871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.