Fred Warren D.P.M.,P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003300 Issued in NY

Legal business name

FRED WARREN D.P.M.,P.C.

Practice address

15274 Jewel Ave
Flushing, NY 11367-1436

Phone

(718) 261-7373

Fax

(718) 261-7373

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Fred Warren, D.P.M.,P.C.

Title

President

Phone

(718) 261-7373

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1336445352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15274 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671436",
            "telephone_number": "718-261-7373",
            "fax_number": "718-261-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15274 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671436",
            "telephone_number": "718-261-7373",
            "fax_number": "718-261-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED WARREN D.P.M.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-261-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M.,P.C."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "P35241",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE(EMPIRE)",
            "identifier": "P53092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE(DMEPOS)",
            "identifier": "4715140001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PPO/EPO",
            "identifier": "P53091ANDP3092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0079443",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2790041",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "HIP00304",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00687554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luna Frank, LCSW
• Stephen Dane Frank, MD
• Tami Frank
• Franklin 142 Associates Inc
• Franklin Center for Rehabilitation and Nursing, Adult Day Health Care
• Fred Warren DPM PC
• Hal Marc Freed, AU.D
• Paul Dennis Freedman, DDS
• Philip Freedman, MD
• Todd W Freedman, PA

• Podiatrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.