Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy J Frederick MD PC

Organization Anesthesiology Physician · NPI 1659711174

Jeremy J Frederick MD PC is an Anesthesiology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 E 91st St Apt 5FW
New York, NY 10128-6004
Phone: (631) 264-2035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 246451 (NY)

Record details

NPI number1659711174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Frederick — Owner · (646) 643-4556
NPI enumeratedJune 28, 2013
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 270, Massapequa Park, NY 11762-0270

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