Individual provider Active NPI

Pablo Frias, MD

  • Surgical Assistant
  • New York, NY
National Provider Identifier
1568642882
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
14-407 Issued in CO
Practice address
1005 Saint Nicholas Ave Apt 54
New York, NY 10032-5142
Phone
(212) 923-7535
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 14-407 CO Primary

Addresses

Primary practice location

1005 Saint Nicholas Ave Apt 54
New York, NY 10032-5142

Mailing address

1005 Saint Nicholas Ave 54
Manhattan, NY 10032
Phone (646) 934-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14-407COMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1568642882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SAINT NICHOLAS AVE 54",
            "city": "MANHATTAN",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "646-934-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SAINT NICHOLAS AVE APT 54",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325142",
            "telephone_number": "212-923-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIAS",
        "first_name": "PABLO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "14-407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.