FRED WARREN D.P.M.,P.C. (NPI# 1336445352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336445352 |
| Entity Type | Organization |
| Organization Name | FRED WARREN D.P.M.,P.C. |
| Practice Address |
15274 Jewel Ave Flushing NY 11367-1436 |
| Practice Telephone | 7182617373 |
| Practice Fax Number | 7182617373 |
| Mailing Telephone | 7182617373 |
| Mailing Fax Number | 7182617373 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |
| Authorized Official Name | DR. FRED WARREN (PRESIDENT) |
| Authorized Official Telephone | 7182617373 |
| Authorized Official Credential | D.P.M.,P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N003300 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE PPO/EPO | P53091ANDP3092 | 01 |
| NY | MEDICARE(DMEPOS) | 4715140001 | 01 |
| NY | HIP | HIP00304 | 01 |
| NY | GHI | 0079443 | 01 |
| NY | EMPIRE BC/BS | P35241 | 01 |
| NY | MEDICARE(EMPIRE) | P53092 | 01 |
| NY | 00687554 | 05 | |
| NY | OXFORD | P2790041 | 01 |
| Street Address |
15274 JEWEL AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11367-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638008 | Scarlett Sea | Speech-Language Pathologist | 31-36 88th St, Jackson Heights, NY 11367 | 2020-01-15 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1922651918 | Triborough Medical Pllc | Anesthesiology | 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 | 2019-07-19 |
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1336617406 | Amira Awadallah | Pharmacist | 15315 79 Ave, Flushing, NY 11367 | 2018-11-07 |
| 1336624097 | Diana Yocheved Shalev | Pharmacist | 14905 79th Ave Apt 511, Flushing, NY 11367 | 2018-09-28 |
| 1417447731 | Yashuo Fazilova | Registered Nurse | 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 | 2018-05-11 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1164920500 | L & M Caring Services Inc | Occupational Therapist | 144-29 Melbourne Ave, Flushing, NY 11367 | 2018-01-31 |
| 1720597610 | Christine Simmons | Licensed Practical Nurse | 67-39 Kissena Blvd #1a, Flushing, NY 11367 | 2017-09-24 |
| Find all providers in zip 11367 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1457707796 | Sarah Mohamed | Podiatrist | 6411 136th St, Flushing, NY 11367-1114 | 2016-05-05 |
| 1033328844 | Greater Queens Podiatry | Podiatrist | 4343 Kissena Blvd #110, Flushing, NY 11355-2914 | 2007-05-21 |
| 1235342387 | Ting Ting Zhang | Podiatrist | 3916 Prince St Ste 151, Flushing, NY 11354-5367 | 2007-05-07 |
| 1316064173 | Peter Betzios | Podiatrist | 2801 Union St, Flushing, NY 11354-1750 | 2007-03-24 |
| 1740315308 | Preferred Family Footcare, LLP | Podiatrist | 14149 73rd Ave, Flushing, NY 11367-2340 | 2007-02-23 |
| 1578601225 | Fred Warren | Podiatrist | 152-74 Jewel Ave, Flushing, NY 11367-1436 | 2007-02-02 |
| 1992853634 | Sandra Patricia Garcia Dpm PC | Podiatrist | 4331 Kissena Blvd, Street Level, Flushing, NY 11355-2921 | 2007-01-08 |
| 1639235468 | Gary Dennis Menachem | Podiatrist | 6809 Main St, Flushing, NY 11367-1310 | 2006-12-28 |
| 1760594485 | Iris Cohn | Podiatrist | 43 70 Kissena Blvd, Suite Lh, Flushing, NY 11355 | 2006-08-31 |
| Find all providers in FLUSHING | ||||
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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.