MR. JOHN FREDERICKS (NPI# 1184040479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184040479 |
| Entity Type | Individual |
| Full Name | MR. JOHN FREDERICKS |
| Credential | LMT |
| Practice Address |
2510 Westchester Ave Suite 110 Bronx NY 10461-3585 |
| Practice Telephone | 7186843050 |
| Mailing Telephone | 7186843050 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 020375 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871035162 | John M Fredericks Jr. | Licensed Practical Nurse | 2975 Rte 9, Cold Spring, New York, NY 10516 | 2016-11-17 |
| 1124034749 | John C. Fredericks | Emergency Medicine | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2006-08-01 |
| Street Address |
2510 WESTCHESTER AVE SUITE 110 |
| City | BRONX |
| State | NY |
| Zip Code | 10461-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669468666 | Edgardo Mesias Livica | Physical Therapist | 2510 Westchester Ave, Suite 106, Bronx, NY 10461-3512 | 2005-09-25 |
| 1720693864 | Bernadette Rose Mcguire | Social Worker | 2510 Westchester Ave, Bronx, NY 10461-3585 | 2020-09-15 |
| 1710459128 | Bijou Aziza Kanzo | Registered Nurse | 2510 Westchester Ave, Bronx, NY 10461-3585 | 2018-12-24 |
| 1881182582 | Jamal Amartey Armah | Registered Nurse | 2510 Westchester Ave, Bronx, NY 10461-3585 | 2018-04-27 |
| 1154856664 | Carla M Flores Santiago | Speech-Language Pathologist | 2510 Westchester Ave, Suite 102, Bronx, NY 10461-3585 | 2017-04-23 |
| 1770024754 | Patrice King | Social Worker | 2510 Westchester Ave, Suite 202, Bronx, NY 10461-3585 | 2017-03-10 |
| 1376087726 | Myrna Tania De Leon | Social Worker | 2510 Westchester Ave, Suite 102, Bronx, NY 10461-3585 | 2016-12-05 |
| 1124579487 | Denise Hidalgo | Behavioral Analyst | 2510 Westchester Ave, Bronx, NY 10461-3585 | 2016-10-20 |
| 1225589880 | Yanire Abreu | Behavioral Analyst | 2510 Westchester Ave, Suite 102, Bronx, NY 10461-3585 | 2016-10-19 |
| 1881149318 | Ivory Rios | Psychologist | 2510 Westchester Ave, Ste 102, Bronx, NY 10461-3585 | 2016-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1699372052 | Debra Nicole Rios | Massage Therapist | 3875 Waldo Ave Apt 6a, Bronx, NY 10463-2159 | 2020-10-07 |
| 1326655804 | Bridie Ann Phelan | Massage Therapist | 234 E 237th St, Bronx, NY 10470-2007 | 2020-09-28 |
| 1245847078 | Jason R Brown | Massage Therapist | 5545 Netherland Ave Apt 4e, Bronx, NY 10471-2339 | 2020-09-25 |
| 1033724950 | Kewin Bernardez | Massage Therapist | 941 Simpson St, Bronx, NY 10459-3327 | 2020-09-09 |
| 1841804077 | Minh-michael Huy Nguyen | Massage Therapist | 3170 Spencer Dr Fl 1, Bronx, NY 10465-1255 | 2020-09-04 |
| 1144834730 | Ivette Cancel | Massage Therapist | 1650 Parkview Ave, Bronx, NY 10461-5221 | 2020-09-01 |
| 1508470139 | Sarah Eve Corrales | Massage Therapist | 1770 Bruckner Blvd Apt 15g, Bronx, NY 10473-3733 | 2020-09-01 |
| 1831709211 | Aandrew Diaz | Massage Therapist | 1660 Topping Ave Apt 6a, Bronx, NY 10457-7164 | 2020-07-31 |
| 1235756768 | Denise Rivera | Massage Therapist | 2915 Harrington Ave, Bronx, NY 10461-5934 | 2020-06-30 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.