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

Mr. Joseph Anthony Fedrick

Individual provider Internal Medicine Physician · NPI 1629078191

Mr. Joseph Anthony Fedrick is an Internal Medicine in Bronx, New York. Graduated from University of South Carolina School of Medicine in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Trained at
University of South Carolina School of Medicine
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

1778 Jerome Ave
Bronx, NY 10453-5708
Phone: (718) 764-1661
Fax: (646) 224-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 199200 (NY)

Record details

NPI number1629078191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 27, 2005
Last updated in NPPESSeptember 24, 2012

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPATHOLOGY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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