NPIMap

Individual provider Active NPI

Caridad I Fresneda, MD

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1346242120
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
190207 Issued in NY
Practice address
30 Kimball Ave
Yonkers, NY 10704-4221
Phone
(914) 237-8282
Fax
(914) 237-8575
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 190207 NY Primary

Addresses

Primary practice location

30 Kimball Ave
Yonkers, NY 10704-4221

Mailing address

30 Kimball Ave
Yonkers, NY 10704-4221
Phone (914) 237-8282

Other identifiers 15

IdentifierTypeStateIssuer
319254OtherNYWELLCARE (NEW YORK) #
3C7286OtherNYHEALTHNET#
5413A1OtherNYEMPIRE BC/BS (YONKERS)
WP733OtherNYOXFORD#
190207OtherHIP#
239874OtherNYWELLCARE (YONKERS) #
4126116OtherNYTACONIC#
4126116OtherNYMVP#
01389486MedicaidNY
5413A2OtherNYEMPIRE BC/BS (NEW YORK)
5996376OtherNYGHI PPO
P00292042OtherNYRAILROAD MDCR #
0453253OtherNYAETNA #
000000088706OtherNYGHI HMO #
004086OtherNYCONNECTICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040814000008 NY Practitioner - Family Practice 5597738997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Yonkers Family Medicine,PLLCGroup PAC ID 2668424326, 2 clinicians

Practice addresses (Care Compare)

30 Kimball Ave
Yonkers, NY 10704-4221
Phone (914) 237-8282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190207NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westbrook Medical Associates PC PastSince Jul 15, 2015 Accepting new patients
South Yonkers Family Medicine Specialist Past Accepting new patients
Yonkers Gardens, LLC Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: southyonkersfamilymedicine.caridadfresneda@144650.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1346242120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KIMBALL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044221",
            "telephone_number": "914-237-8282",
            "fax_number": "914-237-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KIMBALL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044221",
            "telephone_number": "914-237-8282",
            "fax_number": "914-237-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESNEDA",
        "first_name": "CARIDAD",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-06-29",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "190207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE (NEW YORK) #",
            "identifier": "319254",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET#",
            "identifier": "3C7286",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS (YONKERS)",
            "identifier": "5413A1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD#",
            "identifier": "WP733",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP#",
            "identifier": "190207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE (YONKERS) #",
            "identifier": "239874",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TACONIC#",
            "identifier": "4126116",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP#",
            "identifier": "4126116",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01389486",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS (NEW YORK)",
            "identifier": "5413A2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "5996376",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDCR #",
            "identifier": "P00292042",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "0453253",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO #",
            "identifier": "000000088706",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE #",
            "identifier": "004086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.