Healthcare Provider Details

I. General information

NPI: 1730446857
Provider Name (Legal Business Name): JOSHUA FRENKEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVE
STATEN ISLAND NY
10305
US

IV. Provider business mailing address

128 WILBUR RD
BERGENFIELD NJ
07621-4037
US

V. Phone/Fax

Practice location:
  • Phone: 917-522-2223
  • Fax:
Mailing address:
  • Phone: 917-533-2223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25MA10665300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number289637
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: