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Frederick Willis
NPI 1669194346 · Peer Specialist · Bronx, NY
Frederick Willis is a Peer Specialist provider in Bronx, NY (NPI 1669194346).
Provider details
- NPI number
- 1669194346
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4259 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3584 Jerome Ave
Bronx, NY 10467-1006
Phone: (718) 653-1537
Street-level locationGet directions
Mailing address
79 Glenridge Rd
Glenville, NY 12302-4523
Registry dates
- Enumerated
- 2022-09-19
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Frequently asked questions
- What is Frederick Willis's NPI number?
- Frederick Willis's National Provider Identifier (NPI) is 1669194346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frederick Willis's specialty?
- Frederick Willis is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Frederick Willis located?
- Frederick Willis's practice location on file with NPPES is 3584 Jerome Ave, Bronx, NY 10467-1006.
- What is Frederick Willis's phone number?
- The practice phone number listed in the NPPES registry for Frederick Willis is (718) 653-1537.
- Is Frederick Willis's NPI active?
- Yes — Frederick Willis's NPI (1669194346) is active in the NPPES registry as of the last update on 2022-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.