Provider Demographics
NPI:1275582728
Name:SEINFELD, FREDRIC IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDRIC
Middle Name:IRA
Last Name:SEINFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CAPITAL WAY STE 356
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2521
Mailing Address - Country:US
Mailing Address - Phone:609-599-5307
Mailing Address - Fax:609-599-5325
Practice Address - Street 1:2 CAPITAL WAY STE 356
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2521
Practice Address - Country:US
Practice Address - Phone:609-599-5307
Practice Address - Fax:609-599-5325
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05313600208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0809403Medicaid
NJ614863Medicare PIN
NJ0809403Medicaid
NJ614863PDMMedicare PIN
NJ1128331OtherHORIZON NJ HEALTH
NJE17636Medicare UPIN
0780001879OtherRR MEDICARE
NJ443133000OtherKEYSTONE HEALTHPLAN
NJP1584093OtherOXFORD
NJ08094301Medicaid
NJ1000171702OtherAMERICHOICE
NJ1545152OtherUNITED HEALTHCARE
NJ23444OtherAMERIGROUP
PA1230462Medicaid
NJ1K6467OtherHEALTHNET/PHS
NJ443133000OtherPERSONAL CHOICE