Fayne L Frey MD PC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

FAYNE L FREY MD PC

Practice address

2 Crosfield Ave
Suite 319
West Nyack, NY 10994-2226

Phone

(845) 348-0501

Fax

(845) 348-0531

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Fayne Leslie Frey, MDNPI 1235334822

Title

Physician

Phone

(845) 348-0501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fayne Leslie Frey

  • Procedural Dermatology Physician
  • West Nyack, NY
  • NPI 1235334822
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437144490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 319",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-348-0501",
            "fax_number": "845-348-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 319",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942226",
            "telephone_number": "845-348-0501",
            "fax_number": "845-348-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYNE L FREY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "FAYNE",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-348-0501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyewear Maxx, Inc. (Cohen's Fashion Optical)
• Farhana Faroqui
• Robert Farr, PHD
• Stella A Farrell, LCSW
• Victoria Faynberg, LCSW
• Arielle Feiman
• Maris Lynne Feinman, OD
• Lisa A Ferrara, M.D.
• Jae Warren Gazo Ferrer, PT, PTA
• Regina M Fitzgerald, M.D.

• Procedural Dermatology Physician in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.