Hazel Beverly Frederick-McMillan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

469975-01 Issued in NY

Practice address

180 W 135TH St
New York, NY 10030-2902

Phone

(212) 385-3030

NPI assigned

Feb 2, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1346190071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302902",
            "telephone_number": "212-385-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W 135TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302902",
            "telephone_number": "212-385-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK-MCMILLAN",
        "first_name": "HAZEL",
        "middle_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "469975-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederic Fenig M.D., LLC
• Frederick Community Pharmacy Inc
• Frederick E. Solomon
• Frederick Rutkovsky MD PC
• Frederick S Mendelsohn MD PC
• Aquilla Frederick, M.B.A., L.M.S.W.
• Gladys Frederick
• Jeremy J Frederick, MD
• Mary Margaret Frederick, PH.D.
• Nicole Marie Frederick, L.AC

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.