Active NPI
Vadim Fradlis, D.O.
- Emergency Medicine Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 279952
- Practice address
- 350 Engle St
Englewood, NJ 07631-1898 - Phone
- (877) 768-8462
- NPI assigned
- Oct 24, 2011
- Last updated
- Sep 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 279952 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 25MB09990500 | NJ |
Addresses
Primary practice location
350 Engle St
Englewood, NJ 07631-1898
Mailing address
350 Engle St
Englewood, NJ 07631-1898
Phone (201) 894-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Engle St
Englewood Hospital and Medical Center
Englewood, NJ 07631-1808
Phone (201) 894-3450
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.54 of 100
- Quality
- 70.76
- Improvement activities
- 40
- Cost
- 76.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Java Medical Corp | Emergency Medicine | Current | Accepting new patients |
| Emergency Associates of Montclair LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Englewood, PC | Emergency Medicine | Current | Accepting new patients |
Locations
369 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 464-0123
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
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.
-
- Emergency Medicine Physician
- Englewood, NJ
- NPI 1891046264
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1598112146
-
dba Sage Urgent Care
- Urgent Care Clinic/Center
- Berkeley Heights, NJ
- NPI 1437019338
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1457637332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311898",
"telephone_number": "201-894-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311898",
"telephone_number": "877-768-8462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRADLIS",
"first_name": "VADIM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-24",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "279952",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB09990500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.