Individual provider Active NPI

Frederic Sherman, MD

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1730263393
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
117136 Issued in NY
Practice address
3 Barker Ave FL 4
White Plains, NY 10601-1524
Phone
(914) 949-1199
Fax
(914) 517-2682
NPI assigned
Oct 24, 2006
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 117136 NY Primary

Addresses

Primary practice location

3 Barker Ave FL 4
White Plains, NY 10601-1524

Mailing address

3 Barker Ave FL 4
White Plains, NY 10601-1524
Phone (914) 949-1199

Other identifiers 1

IdentifierTypeStateIssuer
01750792MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041106000165 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5496718884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Internal Medicine Current Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Jan 11, 2018 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Jan 11, 2018 Accepting new patients
Atlantis Operating LLC Past Accepting new patients
KFG Operating Two, LLC Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

140 Saint Edwards St
Brooklyn, NY 11201
Phone (718) 858-6400

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1730263393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE FL 4",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011524",
            "telephone_number": "914-949-1199",
            "fax_number": "914-517-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE FL 4",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011524",
            "telephone_number": "914-949-1199",
            "fax_number": "914-517-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "FREDERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "117136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01750792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.