NPI Code Details Logo

NPI 1699742288

NPI 1699742288 : FREDERICK JOSEPH AST MD : NEW YORK, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1699742288
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    FREDERICK JOSEPH AST MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/02/2006
-----------------------------------------------------
    Last Update Date     |    12/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    35 E 30TH ST STE 1A
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10016-7325
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    212-725-7027
-----------------------------------------------------
    Fax                  |    212-725-0433
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    35 E 30TH ST STE 1A
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10016-7325
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    212-725-7027
-----------------------------------------------------
    Fax                  |    212-725-0433
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RR0500X
-----------------------------------------------------
    Taxonomy Name        |    Rheumatology Physician
-----------------------------------------------------
    License Number       |    1783111
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207K00000X
-----------------------------------------------------
    Taxonomy Name        |    Allergy & Immunology Physician
-----------------------------------------------------
    License Number       |    1783111
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RR0500X
-----------------------------------------------------
    Taxonomy Name        |    Rheumatology Physician
-----------------------------------------------------
    License Number       |    77224
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    1783111
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.