Individual provider Active NPI

Morris Samuel Friedman, DO

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1013968783
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB07971900 Issued in NJ
Practice address
52 1St St
Hackensack, NJ 07601-2044
Phone
(201) 342-0066
Fax
(201) 342-0079
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB07971900 NJ Primary

Addresses

Primary practice location

52 1St St
Hackensack, NJ 07601-2044

Mailing address

52 1St St
Hackensack, NJ 07601-2044
Phone (201) 342-0066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121116000141 NY Practitioner - Internal Medicine 2961417373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refuah Health Center IncGroup PAC ID 4880584416, 88 clinicians

Practice addresses (Care Compare)

36 Laurel Ave
South Fallsburg, NY 12779-5804
Phone (845) 482-9394

728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07971900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center, Inc. CurrentSince Oct 11, 2012 Accepting new patients
Refuah Health Center Inc Current Accepting new patients
Refuah Health Center, Inc. CurrentSince Oct 11, 2012 Accepting new patients
Maurice I Friedman OD a Professional Corp PastSince Jan 1, 1999 Accepting new patients
Friedman Optometry, Inc. Past Accepting new patients
North Jersey Internal Medicine PC Internal Medicine Past Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFIHDD/Endpoint/FFIHDD
  • Direct secure messaging: morris.friedman@rhcnys.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1013968783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 1ST ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012044",
            "telephone_number": "201-342-0066",
            "fax_number": "201-342-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 1ST ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012044",
            "telephone_number": "201-342-0066",
            "fax_number": "201-342-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MORRIS",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07971900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.