Joseph Anthony Fedrick

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

199200 Issued in NY

Practice address

1778 Jerome Ave
Bronx, NY 10453-5708

Phone

(718) 764-1661

Fax

(646) 224-1320

NPI assigned

Jul 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal MedicineAlso: Pathology

Education

University of South Carolina School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Uptown Healthcare Management Inc.

  • Dermatology Physician
  • Bronx, NY
  • NPI 1336173194

  Internal Medicine

  Medicare reassignment NPD
• Uptown Healthcare Management, Inc.

  • Ambulatory Surgical Clinic/Center
  • Bronx, NY
  • NPI 1669644837
  Medicare reassignment NPD

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1629078191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535708",
            "telephone_number": "718-764-1661",
            "fax_number": "646-224-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535708",
            "telephone_number": "718-764-1661",
            "fax_number": "646-224-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDRICK",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01990156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Judith Feder, LCSW
• Federation Employment and Guidance Service, Inc
• Federation Employment and Guidance Service, Inc
• Federation Empoyment and Guidance Service, Inc.
• Kristin Marie Fedor, PHARMD
• Feel Better Therapy Clinic
• Feel Good Pharmacy Inc
• Andrea Feghali, NP
• Joseph G. Feghali, M.D.
• Fegs Bronx Dev Day TRT2

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.

Verify at the official NPI Registry.