DR. SAMANTHA FRADKIN PHD
NPI 1689507485
Psychologist - Clinical in Glen Oaks, NY

Q: What is Samantha Fradkin's NPI number?

The NPI number for Samantha Fradkin is 1689507485. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Q: What is Samantha Fradkin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Fradkin was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 03, 2026PECOS Enrolled

7559 263RD ST, GLEN OAKS, NY 11004(718) 470-8100 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Samantha Fradkin Phd NPPES

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

DR. SAMANTHA FRADKIN PHD (NPI 1689507485) is an individual clinical provider in Glen Oaks, New York, licensed in New York (027984) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689507485

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SAMANTHA FRADKINCredential: PHD

Location Address7559 263RD STGlen Oaks, NY 11004-1150

Mailing Address1740 2nd Ave Apt 6eNew York, NY 10128-3565 · (516) 672-5296

Phone(718) 470-8100

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 3, 2026

NPPES CertifiedJune 3, 2026

✔ NPI 1689507485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 027984

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

7559 263RD ST, Glen Oaks, NY 11004

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Fradkin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244790897

PECOS Enrollment IDI20260903000438

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Fradkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC

Same address

Internal Medicine

270-05 76TH AVE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11004 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

$201.98 typical visit price

range $67.00 – $201.98

Typical copayment $50.49 (range $16.75 – $50.49)

Most-billed visit code 99205

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

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.

AVRELIYA SHAPIRO M.D.

Psychiatry & Neurology (Psychiatry)