Jeremy J Frederick MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

246451 Issued in NY

Legal business name

JEREMY J FREDERICK MD PC

Practice address

320 E 91St St Apt 5FW
New York, NY 10128-6004

Phone

(631) 264-2035

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy J. Frederick, M.D.

Title

Owner

Phone

(646) 643-4556

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vitaly Kotlyar, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1841427747
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659711174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 91ST ST APT 5FW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286004",
            "telephone_number": "631-264-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY J FREDERICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-643-4556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "246451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jepson, APRN
• Seth Allen Jerabek, M.D.
• Jeremiah S Redstone, M.D., P.C.
• Maya Jeremias
• Jeremy a. Brauer, MD PC
• Jeremy Montrose Dentistry PLLC
• Brinnette Jerez, MA
• Editta M Jerez
• Jakelin Jerez, RN
• Jose Rafael Jerez, M.D.

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.