Individual provider Active NPI

Marcus Friedrich, MD, MBA

  • Internal Medicine Physician
  • Manhasset, NY
National Provider Identifier
1104068097
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
259301 Issued in NY
Practice address
300 Community Drive
Department of Medicine - 4Dsu
Manhasset, NY 11030
Phone
(646) 481-6559
NPI assigned
Mar 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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 259301 NY Primary

Addresses

Primary practice location

300 Community Drive
Department of Medicine - 4Dsu
Manhasset, NY 11030

Mailing address

300 Community Drive
Department of Medicine - 4Dsu
Manhasset, NY 11030
Phone (646) 481-6559

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
I20120928000470 NY Practitioner - Internal Medicine 6305095712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

1 Clara Barton Dr
Albany, NY 12208-3401
Phone (518) 262-4043

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
259301NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Apr 12, 2016 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Albany Medical College Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Internal Medicine Current Accepting new patients
Albany Medical College CurrentSince Apr 12, 2016 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Albany Medical College Past Accepting new patients

Locations

1 Clara Barton Dr
#158
Albany, NY 12208

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1 Clara Barton Dr
Albany, NY 12208
Phone (518) 262-5588

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
#4
Manhasset, NY 11030
Phone (516) 562-4281

300 Community Dr
Plandome, NY 11030

Organizations & group practices 7

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 5

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1104068097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DRIVE",
            "address_2": "DEPARTMENT OF MEDICINE - 4DSU",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "646-481-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DRIVE",
            "address_2": "DEPARTMENT OF MEDICINE - 4DSU",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "646-481-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDRICH",
        "first_name": "MARCUS",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "259301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.