NPIMap

Organization Active NPI

Freed, Scherz, Kleinberg, Nussbaum & Festa, MD, LLP

  • Legal Medicine
  • Holbrook, NY
National Provider Identifier
1083877948
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
125799-1 Issued in NY
Legal business name
FREED, SCHERZ, KLEINBERG, NUSSBAUM & FESTA, MD, LLP
Practice address
270 Union Ave
Holbrook, NY 11741-1823
Phone
(631) 588-7973
Fax
(631) 471-3039
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mrs. Maryann Schade, ETC
Title
Manager
Phone
(631) 588-7973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 125799-1 NY Primary

Addresses

Primary practice location

270 Union Ave
Holbrook, NY 11741-1823

Mailing address

1270 East Main Street
Riverhead, NY 11901
Phone (631) 727-8080

Other identifiers 9

IdentifierTypeStateIssuer
00656762MedicaidNY
7B3721MedicaidNY
00306170MedicaidNY
01281718MedicaidNY
00765857MedicaidNY
02256857MedicaidNY
02971039MedicaidNY
02559680MedicaidNY
00657209MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Freed Scherz Kleinberg Nussbaum Festa MD LLP5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1083877948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 EAST MAIN STREET",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-727-8080",
            "fax_number": "631-727-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411823",
            "telephone_number": "631-588-7973",
            "fax_number": "631-471-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREED, SCHERZ, KLEINBERG, NUSSBAUM & FESTA, MD, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-588-7973",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "125799-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00656762",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7B3721",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00306170",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281718",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00765857",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02256857",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02971039",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02559680",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00657209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.