Individual provider Active NPI

Frederick Clare, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1932298510
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
126908 Issued in NY
Practice address
3845 10TH Ave
New York, NY 10034-1850
Phone
(914) 393-3068
Fax
(917) 997-9555
NPI assigned
Oct 12, 2006
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 126908 NY
Obstetrics & Gynecology Physician 207V00000X 126908 NY Primary

Addresses

Primary practice location

3845 10TH Ave
New York, NY 10034-1850

Mailing address

106 Victory Blvd
New Rochelle, NY 10804-2219
Phone (914) 393-3068

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071219000505 NY Practitioner - Obstetrics/Gynecology 1052401601 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
126908NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Sep 5, 2018 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Sep 5, 2018 Accepting new patients
Forest Hills Dermatology Group PLLC PastSince Mar 24, 2025 Accepting new patients
Womens OB GYN Care at the Pavilion PC Obstetrics & Gynecology Past Accepting new patients
Gun Hill Medical Pavilion for Women, PC Obstetrics & Gynecology PastSince Sep 1, 2012 Accepting new patients

Locations

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1932298510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VICTORY BLVD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042219",
            "telephone_number": "914-393-3068",
            "fax_number": "917-997-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 10TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341850",
            "telephone_number": "914-393-3068",
            "fax_number": "917-997-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARE",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "126908",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "126908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.