Active NPI
Yuli Fradkin MD LLC
- Psychiatry Physician
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA09283000
- Legal business name
- YULI FRADKIN MD LLC
- Practice address
- 94 Valley Rd FL 2
Montclair, NJ 07042-2211 - Phone
- (646) 685-9836
- Fax
- (888) 512-2123
- NPI assigned
- Nov 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yuli Fradkin
- Title
- Provider/Owner
- Phone
- (646) 685-9836
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA09283000 | NJ | Primary |
Addresses
Primary practice location
94 Valley Rd FL 2
Montclair, NJ 07042-2211
Mailing address
39 James St
Montclair, NJ 07042-2913
Phone (646) 685-9836
Other practice location 1
80 5th Ave Rm 1405
New York, NY 10011-8002
Phone (201) 731-6244
Other practice location 2
440 West St Ste 303
Fort Lee, NJ 07024-5028
Phone (646) 685-9836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
440 West St
Ste 303
Fort Lee, NJ 07024
Phone (646) 685-9836
1564 Lemoine Ave
Fort Lee, NJ 07024
Phone (201) 794-9797
440 West St
#303
Fort Lee, NJ 07024
Phone (201) 731-6244
94 Valley Rd
#2
Montclair, NJ 07042
Phone (201) 731-6244
80 5th Ave
Rm 1405
New York, NY 10011
Phone (646) 596-6792
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Montclair, NJ
- NPI 1356032122
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1972908960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 JAMES ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422913",
"telephone_number": "646-685-9836",
"fax_number": "888-512-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 VALLEY RD FL 2",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422211",
"telephone_number": "646-685-9836",
"fax_number": "888-512-2123"
}
],
"practiceLocations": [
{
"address_1": "80 5th Ave Rm 1405",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100118002",
"country_code": "US",
"telephone_number": "201-731-6244",
"fax_number": "888-512-2123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 West St Ste 303",
"address_purpose": "LOCATION",
"city": "Fort Lee",
"state": "NJ",
"postal_code": "070245028",
"country_code": "US",
"telephone_number": "646-685-9836",
"fax_number": "888-512-2123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YULI FRADKIN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-03",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "FRADKIN",
"authorized_official_first_name": "YULI",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "646-685-9836"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA09283000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.