SHALOM Z FRAGER M.D.
NPI 1740523125
Internal Medicine - Gastroenterology in New York, NY

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
622 W 168TH ST, NEW YORK, NY 10032(212) 305-6081 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2024, Jan 4, 2022 (2 updates tracked since 2022).

About Shalom Z Frager M.d. NPPES

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

SHALOM Z FRAGER M.D. (NPI 1740523125) is an individual gastroenterology provider in New York, New York, licensed in New York (282533-01) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1740523125
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSHALOM Z FRAGERCredential: M.D.
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1740523125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 282533-01
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License 282533-01 (NY)
622 W 168TH ST, New York, NY 10032

Secondary Practice Location 1

Location 1360 Essex St Ste 303Hackensack, NJ 07601 · Phone (551) 996-3091 · Fax (551) 996-4806

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shalom Z Frager M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567885890
PECOS Enrollment IDI20241227000096
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 Reassignments

2

Medicare enrollment records show Shalom Frager reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032

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 Shalom Frager's NPI number?

The NPI number for Shalom Frager is 1740523125. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Shalom Frager located?

Shalom Frager practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-6081.

What is Shalom Frager's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shalom Frager enrolled in Medicare?

Yes. Shalom Frager is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shalom Frager's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalom Frager reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (New York, NY) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shalom Frager's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalom Frager accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Shalom Frager as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shalom Frager affiliated with any hospitals?

According to CMS data, Shalom Frager is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Shalom Frager was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.