Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023145117 Individual Practitioner Male Practitioner

Edward J Frederick , PA

Physician Assistant • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Edward Frederick, PA is a registered healthcare professional specializing in Physician Assistant in Bronx, NY. Practice services are available at 111 E 210TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 E 210th St
Mmc - Dept. Of Medicine

Bronx, NY 104672401

Telephone 7189206700
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1033 Specialists

Practicing in Bronx, NY (15701 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 002473

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Caroline Murphy , PA

Physician Assistant

NPI 1013044007

Physician Assistant

NPI 1114505328

Doctor of Medicine (M.D.)

Mary-Jo Byrne , PA

Physician Assistant

NPI 1134256225

Physician Assistant

Angela Yip , RPA-C

Physician Assistant - Medical

NPI 1194079145

RPAC

Dr. Sulejman Celaj , MD

Internal Medicine - Cardiovascular Disease

NPI 1376717793

Doctor of Medicine (M.D.)

Dr. Maria Coluccio , MD

Student in an Organized Health Care Education/Training Program

NPI 1750968251

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 111 E 210TH ST, MMC - DEPT. OF MEDICINE, BRONX, NY 104672401 (Tel: 7189206700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 110 DEHAVEN DR, APT. 222, YONKERS, NY 107031278 (Tel: 7189206700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD FREDERICK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #002473 in NY)

🟢
Initial NPI Registration & Enumeration February 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023145117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

110 Dehaven Dr, Apt. 222

Yonkers, NY 107031278

Phone: 7189206700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.