Individual provider Active NPI

Daniel Freedman, NP

  • Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1104596949
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F348048 Issued in NY
Practice address
555 French Rd Ste 103
New Hartford, NY 13413-1070
Phone
(315) 735-3541
Fax
(315) 724-3255
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F348048 NY Primary

Addresses

Primary practice location

555 French Rd Ste 103
New Hartford, NY 13413-1070

Mailing address

555 French Rd Ste 103
New Hartford, NY 13413-1070
Phone (315) 735-3541

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
I20210924000440 NY Practitioner - Nurse Practitioner 5991102592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohawk Valley Nephrology Associates LLPGroup PAC ID 8921074717, 7 clinicians

Practice addresses (Care Compare)

125 Business Park Dr
Suite 150
Utica, NY 13502-6322
Phone (315) 735-3541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F348048NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohawk Valley Nephrology Associates, LLP CurrentSince Oct 1, 2021 Accepting new patients

Locations

555 French Rd
Ste 103
New Hartford, NY 13413
Phone (315) 624-7500

125 Business Park Dr
Ste 150
Utica, NY 13502
Phone (315) 235-2540

Organizations & group practices 1

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 1

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1104596949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FRENCH RD STE 103",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131070",
            "telephone_number": "315-735-3541",
            "fax_number": "315-724-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FRENCH RD STE 103",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131070",
            "telephone_number": "315-735-3541",
            "fax_number": "315-724-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "DANIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F348048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.