Organization Active NPI

Fredankey Family Practice

  • Health Service Clinic/Center
  • Cortland, NY
National Provider Identifier
1417736695
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FREDANKEY FAMILY PRACTICE
Practice address
14 Kennedy Pkwy
Cortland, NY 13045-1435
Phone
(607) 591-4429
NPI assigned
Sep 26, 2023
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Dr. Kadeeja Fredankey-ParzychNPI 1225651383
Title
Owner
Phone
(315) 481-4960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

14 Kennedy Pkwy
Cortland, NY 13045-1435

Mailing address

14 Kennedy Pkwy
Cortland, NY 13045-1435
Phone (607) 591-4429

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1417736695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KENNEDY PKWY",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451435",
            "telephone_number": "607-591-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 KENNEDY PKWY",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451435",
            "telephone_number": "607-591-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDANKEY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "FREDANKEY-PARZYCH",
        "authorized_official_first_name": "KADEEJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-481-4960",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.