Organization Active NPI

Peter C. Friedman, M.D., P.C.

  • Specialist
  • New City, NY
National Provider Identifier
1013190396
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PETER C. FRIEDMAN, M.D., P.C.
Practice address
200 E Eckerson Rd
New City, NY 10956-7153
Phone
(845) 352-0500
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter C Friedman, M.D.NPI 1639158116
Title
President
Phone
(845) 352-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

200 E Eckerson Rd
New City, NY 10956-7153

Mailing address

200 E Eckerson Rd
New City, NY 10956-7153

Other names 1

  • The Skin Center Dermatology Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080225000658 NY Part B Supplier - Clinic/Group Practice 9931283280 Receives reassigned benefits from 2 practitioners
Practice locations: New City, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2007547Skin Center Dermatology Group, the200 East Eckerson Road, New City, NY 10956Provider-performed microscopyFeb 3, 2028

National Provider Directory

National Provider Directory

Locations

200 E Eckerson Rd
New City, NY 10956
Phone (845) 352-0500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1013190396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567153",
            "telephone_number": "845-352-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C. FRIEDMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-352-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Skin Center Dermatology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.