Frederick Metabolic and Primary Care Associates LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FREDERICK METABOLIC AND PRIMARY CARE ASSOCIATES LLC

Practice address

184 Thomas Johnson Dr Ste 201
Frederick, MD 21702-4562

Phone

(516) 650-2806

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Safrina Hasan, MDNPI 1679524540

Title

Owner / Clinician

Phone

(516) 650-2806

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BADHDD

Practitioners 3

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

• Safrina Hasan, DO

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1679524540
  Medicare reassignment Care Compare group NPD Authorized official
• Anugeet Kaur, MD

  • Adult Medicine Physician
  • Frederick, MD
  • NPI 1740440593
  Medicare reassignment Care Compare group NPD
• Sidharthi Trichy Selvaraj, MD

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1861753980
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1750109435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 THOMAS JOHNSON DR STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024562",
            "telephone_number": "240-949-7519",
            "fax_number": "240-450-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 THOMAS JOHNSON DR STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024562",
            "telephone_number": "516-650-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK METABOLIC AND PRIMARY CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SAFRINA",
        "authorized_official_title_or_position": "OWNER / CLINICIAN",
        "authorized_official_telephone_number": "516-650-2806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Frederick Midwifery Services, LLC
• Frederick Neonatal Services Series
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• Frederick Oncology Hematology Associates, P.C.
• Frederick Operating, LLC

• Primary Care Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.