Individual provider Active NPI

Viktoriya Fridman, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1033434477
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305111 Issued in NY
Practice address
262 Central Park W
Suite 1D
New York, NY 10024-3512
Phone
(212) 535-7546
Fax
(718) 975-7547
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305111 NY Primary

Addresses

Primary practice location

262 Central Park W
Suite 1D
New York, NY 10024-3512

Mailing address

2727 Ocean Pkwy
Brooklyn, NY 11235-7857
Phone (718) 975-7546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706001934 NY Practitioner - Nurse Practitioner 5890007835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard DermatologyGroup PAC ID 2365475977, 10 clinicians

Practice addresses (Care Compare)

2148 Ocean Ave
FL 5
Brooklyn, NY 11229-1484
Phone (212) 398-1288

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
84.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jan 15, 2015 Accepting new patients
Vanguard Dermatology CurrentSince Jul 29, 2024 Accepting new patients
Vanguard Dermatology PastSince Jul 29, 2024 Accepting new patients

Locations

2727 Ocean Pkwy
Ste L1
Brooklyn, NY 11235
Phone (718) 975-7546

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

2148 Ocean Ave
Fl 5
Brooklyn, NY 11229

4802 10th Ave
Ofc
Brooklyn, NY 11219

11045 Queens Blvd
Ste 116
Forest Hills, NY 11375
Phone (718) 332-2999

1855 Richmond Ave
#5
Staten Island, NY 10314
Phone (718) 332-2999

Networks

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

Interoperability endpoints

  • Direct secure messaging: viktoriya.fridman@pd.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1033434477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357857",
            "telephone_number": "718-975-7546",
            "fax_number": "718-975-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CENTRAL PARK W",
            "address_2": "SUITE 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243512",
            "telephone_number": "212-535-7546",
            "fax_number": "718-975-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "VIKTORIYA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.