Active NPI
Frederick S Arredondo, MD
- Geriatric Medicine (Family Medicine) Physician
- Merrick, NY
National Provider Identifier
1336220862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 218366
- Practice address
- 33 Nancy Blvd
Merrick, NY 11566-3122 - Phone
- (516) 378-4818
- Fax
- (516) 378-4818
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 218366 | NY | Primary |
Addresses
Primary practice location
33 Nancy Blvd
Merrick, NY 11566-3122
Mailing address
33 Nancy Blvd
Merrick, NY 11566-3122
Phone (516) 378-4818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02087850 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas K. Stern, M.D. P.C. | Past | Accepting new patients | |
| Timothy a Fitzer MD Inc a Professional Medical Corporation | 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.
-
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- Berkeley, CA
- NPI 1730145699
-
dba Berkeley Family Practice Medical Group
- Family Medicine Physician
- Berkeley, CA
- NPI 1821104100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336220862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 NANCY BLVD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663122",
"telephone_number": "516-378-4818",
"fax_number": "516-378-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 NANCY BLVD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663122",
"telephone_number": "516-378-4818",
"fax_number": "516-378-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARREDONDO",
"first_name": "FREDERICK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NY",
"license": "218366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02087850",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.