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

Jean A Frederic, PA

Individual provider Surgical Physician Assistant · NPI 1831398296

Jean A Frederic, PA is a Surgical Physician Assistant in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

121 Dekalb Ave Brooklyn
Brooklyn, NY 11201-5425
Phone: (718) 250-8103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 003751-1 (NY)

Record details

NPI number1831398296
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 16, 2007
Last updated in NPPESJuly 16, 2007

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