Individual provider Active NPI

Joseph Fraiman

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1992061782
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
206691 Issued in LA
Practice address
420 E 70TH St
Apt 7F
New York, NY 10021-5320
Phone
(917) 647-3472
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 206691 LA Primary

Addresses

Primary practice location

420 E 70TH St
Apt 7F
New York, NY 10021-5320

Mailing address

420 E 70TH St
Apt 7F
New York, NY 10021-5320
Phone (917) 647-3472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160519001121 LA Practitioner - Emergency Medicine 2769780287 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JS Weill Medical College, Cornell University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Louisiana Medical AssociatesGroup PAC ID 8527968650, 112 clinicians
Thibodaux Emergency Physicians Group LLCGroup PAC ID 2769760537, 9 clinicians

Practice addresses (Care Compare)

1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300

602 N Acadia Rd
ER Dept Thibodaux Medical Center
Thibodaux, LA 70301-4823
Phone (985) 447-5500

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Leonard J Chabert Medical Center Hospital, Houma, LA, CCN 190183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206691LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Van Meter Emergency Physicians Inc. Apmc Emergency Medicine CurrentSince Apr 2, 2016 Accepting new patients
South Louisiana Medical Associates CurrentSince Nov 13, 2019 Accepting new patients
Thibodaux Emergency Physicians Group LLC Emergency Medicine CurrentSince Nov 9, 2016 Accepting new patients
Independence Emergency Group LLC Emergency Medicine CurrentSince Dec 4, 2017 Accepting new patients
St. Bernard Emergency Group, LLC Emergency Medicine CurrentSince Nov 21, 2017 Accepting new patients
South Louisiana Medical Associates Emergency Medicine CurrentSince Nov 13, 2019 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
South Louisiana Medical Associates Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1992061782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 70TH ST",
            "address_2": "APT 7F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215320",
            "telephone_number": "917-647-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 70TH ST",
            "address_2": "APT 7F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215320",
            "telephone_number": "917-647-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIMAN",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "206691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.