Active NPI
Alina Fradlis, MD
- Anesthesiology Physician
- Teaneck, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA10561700
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Partners
Practice addresses (Care Compare)
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-2300
Hospital & facility affiliations
- Holy Name Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10561700 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Center for Endoscopy, LLC | Current | Accepting new patients | |
| Holy Name Anesthesia Partners | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Teaneck, NJ
- NPI 1457907461
Anesthesiology, NJ
-
- Ambulatory Surgical Clinic/Center
- North Bergen, NJ
- NPI 1184009326
NJ
-
- Ambulatory Surgical Clinic/Center
- North Bergen, NJ
- NPI 1003842626
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.