Individual provider Active NPI

Harvey Fritz, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Lynn, MA
National Provider Identifier
1669501474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1423 Issued in MA
Practice address
3 Broad St
Lynn, MA 01902-5001
Phone
(781) 595-8787
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1423 MA Primary

Addresses

Primary practice location

3 Broad St
Lynn, MA 01902-5001

Mailing address

3 Broad St
Lynn, MA 01902-5001
Phone (781) 595-8787

Other identifiers 1

IdentifierTypeStateIssuer
0318744MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000623 MA Practitioner - Podiatry 1850300252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Seniorlife Affiliated Medical Group IncGroup PAC ID 2062774177, 16 clinicians

Practice addresses (Care Compare)

1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 971-5766

36 Ralph Rd
Marblehead, MA 01945-1831
Phone (781) 595-8787

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue531
Removal or shaving of skin growth76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1423MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Seniorlife Affiliated Medical Group Inc CurrentSince Feb 28, 2018 Accepting new patients
Harvey Fritz DPM PC CurrentSince Oct 5, 2011 Accepting new patients

Locations

3 Broad St
Lynn, MA 01902
Phone (617) 595-8707

1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669501474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025001",
            "telephone_number": "781-595-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019025001",
            "telephone_number": "781-595-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MA",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0318744",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.