Tineisha A Fraser

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1 Lake St
Massapequa, NY 11758-5508

Phone

(631) 704-4104

NPI assigned

Oct 20, 2022

Sex

Female

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

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1992422968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKE ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585508",
            "telephone_number": "631-704-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKE ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585508",
            "telephone_number": "631-704-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "TINEISHA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Fradella DO PC
• Saji Francis, MD
• Victoria Franco, DO
• Julia Kathryn Frangeskos, PA-C
• Tara Frank, MS, RD
• Jacqueline Sue Friedberg, LCSW
• Friedman Myers & Elgort
• Lauren Fries, D.C.
• Lauren Barbara Frustaci, LMSW
• Robert Fuentes, M.D.

• Specialist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.