Active NPIIndividual providerSole proprietor

Yuli Fradkin, MD

Psychiatry & Neurology, Psychiatry in Montclair, New Jersey

NPI Number1255589461
Practice location
94 Valley RD Fl 2, Montclair, NJ 07042-2211
Fax
—
Last updated
October 15, 2024

Yuli Fradkin is a Psychiatry & Neurology, Psychiatry based in Montclair, NJ. Yuli Fradkin practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Yuli Fradkin is 1255589461 and holds a License No. 255476 (NY). The current practice location address for Yuli Fradkin is 94 Valley RD Fl 2, Montclair, NJ 07042-2211 and can be reached out via phone at 646-685-9836.

Provider Profile Details

NPI Number
1255589461
Provider Name
Yuli Fradkin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
94 Valley RD Fl 2, Montclair, NJ 07042-2211
Phone Number
646-685-9836
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2008
Last Update Date
October 15, 2024
Certification Date
October 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Valley RD Fl 2
Montclair, NJ 07042-2211
Zip
07042-2211
Phone Number
646-685-9836
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
39 James St
Montclair, NJ 07042-2913
City
Montclair
State
NJ
Zip
07042-2913
Phone Number
646-685-9836

License Information

License Number (1)
255476
License State (1)
NY
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
25MA09283000
License State (2)
NJ
License Number (3)
255476
License State (3)
NY
License Number (4)
25MA09283000
License State (4)
NJ
Taxonomy (4)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Yuli Fradkin, MD?

The NPI number of Yuli Fradkin, MD is 1255589461. It was assigned on August 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Yuli Fradkin, MD?

Yuli Fradkin, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 255476.

Where does Yuli Fradkin, MD practice?

The practice location is 94 Valley RD Fl 2, Montclair, NJ 07042-2211. The office can be reached at 646-685-9836 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255589461 directly on the NPPES registry website.

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