M. Freeman Medical Practice, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

080452 Issued in NY

Legal business name

M. FREEMAN MEDICAL PRACTICE, P.C.

Doing business as

Meliss M. Freeman, MD

Practice address

407 W 147TH St
New York, NY 10031-4808

Phone

(212) 281-5613

Fax

(212) 862-4923

NPI assigned

Aug 4, 2016

Organization subpart

Yes

Parent organization

MELISS M. FREEMAN, MDAs reported in NPPES

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

Authorized official

Name

Melissa M Freeman, MD

Title

Authorize Official

Phone

(917) 864-0708

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Meliss M. Freeman, MD Doing business as

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1073067393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W 147TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314808",
            "telephone_number": "212-281-5613",
            "fax_number": "212-862-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W 147TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314808",
            "telephone_number": "212-281-5613",
            "fax_number": "212-862-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. FREEMAN MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELISS M. FREEMAN, MD",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "917-864-0708",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "080452",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "080452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00591020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meliss M. Freeman, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.