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ALEXANDRA FAYNE-FREDERICK MD
NPI 1326508318
Pediatrics - Adolescent Medicine in New York, NY

Active since March 25, 2019PECOS Enrolled
320 E 94TH ST, NEW YORK, NY 10128(212) 423-3000 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexandra Fayne-frederick Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA FAYNE-FREDERICK MD (NPI 1326508318) is an individual adolescent medicine provider in New York, New York, licensed in New York (315759) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326508318
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameALEXANDRA FAYNE-FREDERICKCredential: MD
Location Address320 E 94TH STNew York, NY 10128-5604
Mailing Address320 E 94th StNew York, NY 10128-5604 · (212) 423-3000
Phone(212) 423-3000
Sole ProprietorNo
Enumeration DateMarch 25, 2019
Last NPPES UpdateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1326508318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 315759
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 315759 (NY)
320 E 94TH ST, New York, NY 10128
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Other Names 1

Other Name (5)Alexandra Fayne-frederick Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Fayne-frederick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE ST. LUKES ROOSEVELT HOSPITAL CENTER
Case Management
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 241-3257
JAIME LEE BEDARD LCSW
Social Worker (Clinical)
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2050
MR. ZACHARY SPENCE FRIED LMSW
Social Worker
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2927
JACQUELINE STRAND LMSW
Social Worker
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 501-1276
LISA BETH DITCHEK MD
Pediatrics (Adolescent Medicine)
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-3000
DR. JULIE NAGPAL M.D.
Pediatrics (Adolescent Medicine)
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 731-7576
DANIELLA ANTOLOS PHARMD
Pharmacist
320 E 94TH ST
NEW YORK, NY 10128
New York County (347) 415-7954
MS. MICHELE GREEN PHYSICIAN ASSISTANT
Physician Assistant
320 E 94TH ST
NEW YORK, NY 10128
New York County (212) 423-2875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Fayne-frederick's NPI number?

The NPI number for Alexandra Fayne-frederick is 1326508318. It was assigned to this individual provider in the NPPES registry on March 25, 2019. The provider is also known as Alexandra Fayne-Frederick MD.

Where is Alexandra Fayne-frederick located?

Alexandra Fayne-frederick practices at 320 E 94th St, New York, NY 10128. The listed phone number is (212) 423-3000.

What is Alexandra Fayne-frederick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Alexandra Fayne-frederick enrolled in Medicare?

Yes. Alexandra Fayne-frederick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Fayne-frederick was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.