JENNIFER FRYER


Address: 150 Broadhollow Rd, Suite 100, Melville, NY 11747-4905
Phone: 6316735700

JENNIFER FRYER (NPI# 1932271020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932271020
Entity Type Individual
Full Name JENNIFER FRYER
Credential MD
Practice Address 150 Broadhollow Rd
Suite 100
Melville
NY 11747-4905
Mailing Address 21008 Northern Blvd
Suite 2
Bayside
NY 11361-3211
Practice Telephone 6316735700
Practice Fax Number 6316730506
Mailing Telephone 7182278200
Mailing Fax Number 7188190244
Enumeration Date 2006-11-14
Last Update Date 2010-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 189419 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY VYTRA 116016 01
NY EMPIRE BC BS BAYSIDE 2H5051 01
NY OXFORD P2539119 01
NY EMPIRE BC BS HUNTINGTON 2H5052 01
NY GHI 2299669 01
NY AETNA 2691261 01
NY THE ELDER PLAN 160682 01

Office Location

Street Address 150 BROADHOLLOW RD
SUITE 100
City MELVILLE
State NY
Zip Code 11747-4905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295756005 Michael Schwartz Psychiatry & Neurology 150 Broadhollow Rd, Suite 204, Melville, NY 11747-4905 2006-07-21
1497121917 Bsj Physical Therapy, P.C. Rehabilitation Unit 150 Broadhollow Rd, #316, Melville, NY 11747-4905 2015-08-19
1346664075 Scott Charles Silverman Counselor 150 Broadhollow Rd, Suite 109, Melville, NY 11747-4905 2014-02-17
1033480744 Mella Clancy-schifilliti Social Worker 150 Broadhollow Rd, Suite 310, Melville, NY 11747-4905 2012-01-26
1093028292 Sally Means Occupational Therapist 150 Broadhollow Rd, Melville, NY 11747-4905 2010-07-16
1851534036 Central Park Therapy, Inc. Early Intervention Provider Agency 150 Broadhollow Rd, Suite 104, Melville, NY 11747-4905 2009-04-17
1205081536 Michael Schwartz, M.d., P.C. Psychiatry & Neurology 150 Broadhollow Rd, Suite 204, Melville, NY 11747-4905 2008-12-01
1477710978 Dimple Sodhi Psychiatry & Neurology 150 Broadhollow Rd, 107, Melville, NY 11747-4905 2008-05-21
1427223072 Eagle's Touch Chiropractic & Wellness, PC Chiropractor 150 Broadhollow Rd, Suite 108, Melville, NY 11747-4905 2008-04-24
1144419805 Darren M. Schnapp Dentist 150 Broadhollow Rd, Suite 113, Melville, NY 11747-4905 2007-10-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891316139 Shaina Flanzraich Physical Therapist 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 2020-04-28
1952943763 Liana Danielle Maher Behavior Technician 225 Broadhallow Road Suite 402, Melville, NY 11747 2019-10-14
1114402096 Anicka Inez Douglas Behavior Technician 225 Broadhollow Road Suite 402, Melville, NY 11747 2018-09-26
1962988717 Brien Nina-louise Potter Behavior Technician 225 Broadhollow Road, Suite 402, Melville, NY 11747 2018-07-16
1750804951 Iri: Innovative Resources for Independence Intermediate Care Facility, Mentally Retarded 922 Rainbow Commons Ct, Melville, NY 11747 2017-07-19
1386178127 Marissa Zydor Specialist 538 Ny-110 #202, Melville, NY 11747 2017-04-19
1992236624 Annmarie Irene Russo Behavior Technician 538 Ny-110, Suite 202, Melville, NY 11747 2017-03-24
1205378130 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 914 Rainbow Commons, Melville, NY 11747 2016-11-09
1932641867 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 917 Rainbow Commons, Melville, NY 11747 2016-11-09
1740732999 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 924 Rainbow Commons, Melville, NY 11747 2016-11-03
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699919969 Kaleroy Papantoniou Dermatology 900 Walt Whitman Rd Ste 101, Melville, NY 11747-2215 2009-04-29
1194880641 Robert Phillip Feinstein Dermatology 189 Montecito Cres, Melville, NY 11747-5232 2006-12-26
1699285874 Simply Dermatology Pllc Dermatology 900 Walt Whitman Rd Ste 101, Melville, NY 11747-2215 2017-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225636384 Markowitz Medical Pllc Dermatology 1150 5th Ave # Suire1a, New York, NY 10128-0724 2020-10-12
1114545985 Tarek Yamany Md Pllc Dermatology 229 W 60th St Apt 8e, New York, NY 10023-7507 2020-07-08
1952924839 Elizabeth Jessica Ranelli Dermatology 16 W 17th St, New York, NY 10011-5738 2020-05-26
1841811148 Stuart Daniel Shanler Dermatology 53 Underhill Dr, Pomona, NY 10970-2668 2020-04-28
1740800309 Ns Arora Dermatology Pllc Dermatology 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 2020-04-23
1174163406 Halite Services Crop Dermatology 447 Rose Ln, Rockville Centre, NY 11570-1429 2020-01-15
1235776485 Libby Rhee Do Dermatology Pllc Dermatology 110 E 60th St # 800, New York, NY 10022-1688 2019-12-06
1588214357 Advanced Dermatology of New York PC Dermatology 1-3 West 125th Street, New York, NY 10027 2019-09-13
1568018588 Mary Matina Valinotti Dermatology 332 E Main St Ste 1, Bay Shore, NY 11706-8436 2019-08-15
1831751379 Jessica Weiser, M.d., Pllc Dermatology 155 Spring St Fl 5, New York, NY 10012-5208 2019-07-05
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Competitor

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City MELVILLE
Zip Code 11747

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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