Individual provider Active NPI

Frederick Carl Garbrecht, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1457350134
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
158499 Issued in NY
Practice address
219 W Allens LN
Philadelphia, PA 19119-4103
Phone
(267) 234-1114
NPI assigned
Jul 15, 2005
Last updated
Oct 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 158499 NY Primary

Addresses

Primary practice location

219 W Allens LN
Philadelphia, PA 19119-4103

Mailing address

219 W Allens LN
Philadelphia, PA 19119-4103
Phone (215) 248-3535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000332 NY Practitioner - Pediatric Medicine 1052461332 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158499NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Hospital of the City of Albany CurrentSince May 11, 2021 Accepting new patients
St. Peter's Hospital of the City of Albany Pediatrics CurrentSince May 11, 2021 Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

Interoperability endpoints

  • Direct secure messaging: fgarbrecht788245@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1457350134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W ALLENS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191194103",
            "telephone_number": "215-248-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W ALLENS LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191194103",
            "telephone_number": "267-234-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBRECHT",
        "first_name": "FREDERICK",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "158499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.