NPIMap

Organization Active NPI

Mark Brian Friedman, DPM, PLLC

Doing business as Albany Podiatry

  • Podiatrist
  • Albany, NY
National Provider Identifier
1073796967
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MARK BRIAN FRIEDMAN, DPM, PLLC
Doing business as
Albany Podiatry
Practice address
302A Washington Avenue Ext
Albany, NY 12203-7303
Phone
(518) 482-4321
Fax
(518) 482-4664
NPI assigned
Dec 13, 2007
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Mark B Friedman, DPMNPI 1639221450
Title
Owner
Phone
(518) 482-4321

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Podiatrist 213E00000X Primary
Foot Surgery Podiatrist 213ES0131X

Addresses

Primary practice location

302A Washington Avenue Ext
Albany, NY 12203-7303

Mailing address

302A Washington Avenue Ext
Albany, NY 12203-7303
Phone (518) 482-4321

Other names 1

  • Albany Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930095684 NY DME Supplier - Physician - Podiatry 9830200856 Practice locations: Albany, NY
O20160318000216 NY Part B Supplier - Clinic/Group Practice 9830200856 Receives reassigned benefits from 4 practitioners
Practice locations: Albany, NY

National Provider Directory

National Provider Directory
Tax ID family
Mark Brian Friedman DPM PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

302A Washington Avenue Ext
Albany, NY 12203
Phone (518) 482-4321

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1073796967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302A WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-482-4321",
            "fax_number": "518-482-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302A WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-482-4321",
            "fax_number": "518-482-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BRIAN FRIEDMAN, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-482-4321",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.