Phoenix Frick

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

N06635-01 Issued in NY

Practice address

800 Irving Ave
Syracuse, NY 13210-2716

Phone

(315) 425-4400

NPI assigned

Oct 30, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1851260855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 CAZENOVIA RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042008",
            "telephone_number": "315-877-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102716",
            "telephone_number": "315-425-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICK",
        "first_name": "PHOENIX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "N06635-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan David Freshman, MD
• Jennifer Fretwell, DO
• Timothy Freund, PA
• Cathleen C Frey, CRNA
• David K Frey, MD
• Halle Allison Fridman
• Amy L Friedman, MD
• Benjamin Louis Friedman, MD
• David S Friedman, PH.D
• Henry Dan Friedman, M.D.

• Medical-Surgical Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.