Fredric J Mintz, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

150334 Issued in NY

Legal business name

FREDRIC J MINTZ, MD, PC

Practice address

175 Jericho Tpke
Suite 217
Syosset, NY 11791-4532

Phone

(516) 682-0001

Fax

(516) 682-0004

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fredric J Mintz, MDNPI 1194759530

Title

Doctor

Phone

(516) 682-0001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Fredric J Mintz, M.D.

  • Internal Medicine Physician
  • Syosset, NY
  • NPI 1194759530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1457534141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 217",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-682-0001",
            "fax_number": "516-682-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 217",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-682-0001",
            "fax_number": "516-682-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC J MINTZ, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-682-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "150334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Fox
• Fran Krivit Ma CCC/SLP PC
• Francis Unson, DO, PC
• Dorene Catherine Frederick, NP
• Cynthia M Fredericks, LMSW
• Donna Rose Freed, DNP, FNP-BC
• Maria Freeman, LCSW
• Sara Beth Freiberg, OTR
• Phyllis Ann Frenkel, MS,SLP,CCC
• Rachael A Fried, PA

• Internal Medicine Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.