Individual provider Active NPI

Daveed D Frazier, MD

  • Orthopaedic Surgery of the Spine Physician
  • New York, NY
National Provider Identifier
1518048446
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
207831 Issued in NY
Practice address
343 W 58TH St
New York, NY 10019-1108
Phone
(212) 506-0232
Fax
(212) 977-3732
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 207831 NY Primary

Addresses

Primary practice location

343 W 58TH St
New York, NY 10019-1108

Mailing address

343 West 58TH Street
New York, NY 10019-1108
Phone (212) 506-0232

Other practice location 1

97 Amity St
Brooklyn, NY 11201-6004
Phone (718) 780-4701

Other identifiers 1

IdentifierTypeStateIssuer
01889481MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Roosevelt Community Care Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518048446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 WEST 58TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191108",
            "telephone_number": "212-506-0232",
            "fax_number": "212-977-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191108",
            "telephone_number": "212-506-0232",
            "fax_number": "212-977-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Amity St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112016004",
            "country_code": "US",
            "telephone_number": "718-780-4701",
            "fax_number": "718-780-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "DAVEED",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "207831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01889481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.