Individual provider Active NPI

Vadim Fradlis, D.O.

  • Emergency Medicine Physician
  • Englewood, NJ
National Provider Identifier
1457637332
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
279952 Issued in NY
Practice address
350 Engle St
Englewood, NJ 07631-1898
Phone
(877) 768-8462
NPI assigned
Oct 24, 2011
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103000439 NJ Practitioner - Emergency Medicine 1052624657 Reassigns benefits to 2 organizations

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
Emergency Physicians of Englewood, PCGroup PAC ID 9335384437, 11 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Java Medical Corp Emergency Medicine Current Accepting new patients
Emergency Associates of Montclair LLC Emergency Medicine CurrentSince Dec 12, 2017 Accepting new patients
Emergency Physicians of Englewood, PC Emergency Medicine CurrentSince Dec 1, 2017 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.