Frederick B Achildiev, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

242230 Issued in NY

Practice address

15 Park Ave
Bay Shore, NY 11706-7381

Phone

(631) 581-4400

Fax

(631) 277-3750

NPI assigned

Jan 22, 2008

Last updated

Dec 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1740467737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067381",
            "telephone_number": "631-581-4400",
            "fax_number": "631-277-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067381",
            "telephone_number": "631-581-4400",
            "fax_number": "631-277-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHILDIEV",
        "first_name": "FREDERICK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "242230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "242230",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02957468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samer Najeh Abu Dayeh
• John W Acampa, M.D.
• Andy Acevedo, PHARMD,
• Evelyn Acevedo
• Halei Acevedo
• Aci Podiatry, PC
• Tracie A Ackerman, ANP-C, AGACNP
• Acld Kramer Learning Center
• Tyler Acton, PAC
• Ava Anise Adams

• Surgery Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.