Fred Warren DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003300 Issued in NY

Legal business name

FRED WARREN DPM PC

Practice address

152-74 Jewel Ave
Flushing, NY 11367-1436

Phone

(718) 261-7373

Fax

(718) 261-7373

NPI assigned

Feb 2, 2007

Last updated

Jan 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fred Warren, D.P.M.,P.C.NPI 1578601225

Title

President

Phone

(718) 261-7373

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred Warren, D.P.M.

  • Podiatrist
  • Flushing, NY
  • NPI 1578601225
  Authorized official Same address or phone

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1629116280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152-74 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671436",
            "telephone_number": "718-261-7373",
            "fax_number": "718-261-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152-74 JEWEL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671436",
            "telephone_number": "718-261-7373",
            "fax_number": "718-261-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED WARREN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-261-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M.,P.C."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2790041",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00687554",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO",
            "identifier": "47255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC PPO AND EPO",
            "identifier": "P5309",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P35241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Dane Frank, MD
• Tami Frank
• Franklin 142 Associates Inc
• Franklin Center for Rehabilitation and Nursing, Adult Day Health Care
• Fred Warren D.P.M.,P.C.
• Hal Marc Freed, AU.D
• Paul Dennis Freedman, DDS
• Philip Freedman, MD
• Todd W Freedman, PA
• Rachel Freier, MS CCC-SLP

• Podiatrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.