NPIMap

Joseph Frager, MD

Individual provider Active NPI Gastroenterology Physician · Bronx, NY

NPI 1992705974 · NPPES record last updated May 20, 2010

Key facts

NPI
1992705974
Entity type
Individual (NPI type 1)
Primary specialty
Gastroenterology Physician 207RG0100X
License
152389-1 (NY)
Practice address
277 Van Cortlandt Ave E
Bronx, NY 10467-3011
Phone
(718) 798-8867
Fax
(718) 881-7433
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 18

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 1

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

Medicare Care Compare profile

Specialty
Gastroenterology
Also: Internal Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical Center (2,809 clinicians)

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital · Bronx, NY · CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Upper gastrointestinal (GI) endoscopy for acid reflux17

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100518000241 NY Practitioner - Gastroenterology
Practitioner - Internal Medicine		 9335277029 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
152389-1NYMDGastroenterology Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Gastroenterology Current
since Dec 25, 2021		 Accepting new patients
Montefiore Medical Center Current
since Dec 25, 2021		 Accepting new patients
Park Avenue Medical Associates, P.C. Past
since Dec 4, 1999		 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Ste 903
Bronx, NY 10461
Phone (718) 450-9955

Networks

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

Interoperability endpoints

  • Direct secure messaging: jfrager@montefioredirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 152389-1 NY Yes

Addresses

Primary practice location

277 Van Cortlandt Ave E
Bronx, NY 10467-3011

Mailing address

277 Van Cortlandt Ave E
Bronx, NY 10467-3011
Phone (718) 798-8867

Other identifiers

IdentifierTypeStateIssuer
0036468OtherNYGHI
0H1578OtherNYPHS
GS035OtherNYOXFORD
0092498MedicaidNY
P2270371OtherNYAETNA
27861POtherNYHIP
683547OtherNYUNITED HEALTHCARE
683547OtherNYAETNA HMO
152389-A14OtherNYHEALTH FIRST
21B591OtherNYBLUES
113093221OtherNYCOMMERCIAL
1163743-016OtherNYCIGNA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2010.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1992705974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 VAN CORTLANDT AVE E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673011",
            "telephone_number": "718-798-8867",
            "fax_number": "718-881-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 VAN CORTLANDT AVE E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673011",
            "telephone_number": "718-798-8867",
            "fax_number": "718-881-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGER",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "152389-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0036468",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "0H1578",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GS035",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "P2270371",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "27861P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "683547",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "683547",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "152389-A14",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES",
            "identifier": "21B591",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "113093221",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1163743-016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

All providers in Bronx, NY · Gastroenterology Physician in New York

Sources for this page

Verify at the official NPI Registry.