James E Frederick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

146667 Issued in NY

Practice address

1427 Genesee St
Utica, NY 13501-4343

Phone

(315) 798-8868

Fax

(315) 368-0195

NPI assigned

Oct 4, 2006

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Upstate Cerebral Palsy, Inc

  • Mental Health Counselor
  • Utica, NY
  • NPI 1780636506

  Family Medicine

  Medicare reassignment NPD
• Upstate Cerebral Palsy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Utica, NY
  • NPI 1215098207
  NPD
• Mohawk Valley Home Care LLC

  • Oxygen Equipment & Supplies (DME)
  • Utica, NY
  • NPI 1285749457
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1861588469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TOGGLETOWN LN",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014343",
            "telephone_number": "315-798-8868",
            "fax_number": "315-368-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "146667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Tyler Franklin
• Marjorie Ann Frazier, M.S.,CASAC, LMHC
• Fred L Talarico MD PC
• Benjamin J Freda, DO
• Frederic S Joyce MD PC
• Sarah Lynne Fredericks, LCSW-R
• David Gerald Freed, RN
• Linda Freedman, FNP
• Kimberly Anne Freeley
• Aloysius G Freeman, M.D.

• Family Medicine Physician in Utica, NY
• Providers in Utica, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.