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FREDRIQUE GREEN
NPI 1437960127
Physician Assistant in Jamaica, NY

Active since January 14, 2025PECOS Enrolled
9420 GUY R BREWER BLVD, JAMAICA, NY 11451(718) 262-2000 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fredrique Green NPPES

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

FREDRIQUE GREEN (NPI 1437960127) is an individual physician assistant in Jamaica, New York and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437960127
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFREDRIQUE GREEN
Location Address9420 GUY R BREWER BLVDJamaica, NY 11451-0001
Mailing Address9420 Guy R Brewer BlvdJamaica, NY 11451-0001
Phone(718) 262-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1437960127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
9420 GUY R BREWER BLVD, Jamaica, NY 11451
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredrique Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315438108
PECOS Enrollment IDI20251119003005
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LUDMA DELVA
Physician Assistant
9420 GUY R BREWER BLVD
JAMAICA, NY 11451
Queens County (347) 796-0392
SPOGMAY KHAN
Physician Assistant
9420 GUY R BREWER BLVD
JAMAICA, NY 11451
Queens County (718) 262-2000
JOHANNA OLAYA PA-C
Physician Assistant
9420 GUY R BREWER BLVD
JAMAICA, NY 11451
Queens County (718) 262-2000
JEANINE ALOKUSH
Physician Assistant
9420 GUY R BREWER BLVD
JAMAICA, NY 11451
Queens County (347) 404-2981
TAYLOR M WALSH PA
Physician Assistant
9420 GUY R BREWER BLVD
JAMAICA, NY 11451
Queens County (718) 262-2000
MELINDA CHEN CHIU PA-C
Physician Assistant
9420 GUY R BREWER BLVD
JAMAICA, NY 11451
Queens County (718) 687-6873
MRS. MARIA BARAK PHYSICIAN ASSISTANT
Physician Assistant
9420 GUY R BREWER BLVD
JAMAICA, NY 11451
Queens County (347) 985-3109
MATTHEW HULBERT PA
Physician Assistant
9420 GUY R BREWER BLVD
JAMAICA, NY 11451
Queens County (718) 262-2000

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 Fredrique Green's NPI number?

The NPI number for Fredrique Green is 1437960127. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Fredrique Green located?

Fredrique Green practices at 9420 Guy R Brewer Blvd, Jamaica, NY 11451. The listed phone number is (718) 262-2000.

What is Fredrique Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fredrique Green enrolled in Medicare?

Yes. Fredrique Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fredrique Green was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.