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

Dr. Jeremy J Frederick, MD

Individual provider Anesthesiology Physician · NPI 1174720726

Dr. Jeremy J Frederick, MD is an Anesthesiology in New York, New York. Graduated from New York University School of Medicine in 2006, 20 years ago. Practices with Sedation Vacation Perioperative Medicine PLLC, a 85-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

320 E 91st St Apt 5FW
New York, NY 10128-6026
Phone: (646) 643-4556
Fax: (212) 555-1234
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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 number1174720726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESAugust 17, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Sedation Vacation Perioperative Medicine Pllc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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