Individual provider Active NPI

Alina Fradlis, MD

  • Anesthesiology Physician
  • Teaneck, NJ
National Provider Identifier
1619210366
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA10561700 Issued in NJ
Practice address
Holy Name Medical Center
718 Teaneck Road
Teaneck, NJ 07666
Phone
(201) 833-3000
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA10561700 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

Holy Name Medical Center
718 Teaneck Road
Teaneck, NJ 07666

Mailing address

Holy Name Medical Center
718 Teaneck Road
Teaneck, NJ 07666

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
I20190625002168 NJ Practitioner - Anesthesiology 7517238199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albany Medical College of Union University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Name Anesthesia PartnersGroup PAC ID 6204167976, 30 clinicians

Practice addresses (Care Compare)

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-2300

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10561700NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Center for Endoscopy, LLC CurrentSince Dec 25, 2020 Accepting new patients
Holy Name Anesthesia Partners Anesthesiology CurrentSince Nov 1, 2019 Accepting new patients

Locations

9226 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 295-0900

9226 Kennedy Blvd
Unit A
North Bergen, NJ 07047
Phone (201) 295-0900

7600 River Rd
Fl 4
North Bergen, NJ 07047
Phone (201) 295-4805

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1619210366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOLY NAME MEDICAL CENTER",
            "address_2": "718 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLY NAME MEDICAL CENTER",
            "address_2": "718 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-833-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRADLIS",
        "first_name": "ALINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA10561700",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.