Organization Active NPI

Eliezer a. Frommer, MD, P.C.

  • Pediatrics Physician
  • New Hempstead, NY
National Provider Identifier
1811296536
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
254437 Issued in NY
Legal business name
ELIEZER A. FROMMER, MD, P.C.
Practice address
31 Pennington Way
New Hempstead, NY 10977-1418
Phone
(845) 362-0527
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Dr. Eliezer Aaron Frommer, M.D.
Title
Owner
Phone
(845) 362-0527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 254437 NY Primary

Addresses

Primary practice location

31 Pennington Way
New Hempstead, NY 10977-1418

Mailing address

31 Pennington Way
New Hempstead, NY 10977-1418
Phone (845) 362-0527

Other identifiers 1

IdentifierTypeStateIssuer
03324825MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1811296536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PENNINGTON WAY",
            "city": "NEW HEMPSTEAD",
            "state": "NY",
            "postal_code": "109771418",
            "telephone_number": "845-362-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PENNINGTON WAY",
            "city": "NEW HEMPSTEAD",
            "state": "NY",
            "postal_code": "109771418",
            "telephone_number": "845-362-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIEZER A. FROMMER, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "FROMMER",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-362-0527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "254437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03324825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.