Individual provider Active NPI

Alan Friedman, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1104959527
Registry record updated Oct 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MA 64221 Issued in NJ
Practice address
351 E 84TH St Apt 15F
Expert Medical Evaluations
New York, NY 10028-4456
Phone
(212) 481-8484
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 197575 NY
Physical Medicine & Rehabilitation Physician 208100000X MA 64221 NJ Primary

Addresses

Primary practice location

351 E 84TH St Apt 15F
Expert Medical Evaluations
New York, NY 10028-4456

Mailing address

1496 Cedar Row
Lakewood, NJ 08701-1514
Phone (908) 447-1066

Other identifiers 1

IdentifierTypeStateIssuer
8045802MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA 64221NJMDPhysical Medicine & Rehabilitation Physician
197575NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
If Pain Associates LLC PastSince Nov 1, 2002 Accepting new patients
Integrated Physiatry Services Physical Medicine & Rehabilitation Past Accepting new patients
Professional Medical Rehabilitation PA Physical Medicine & Rehabilitation Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224979200000",
    "number": "1104959527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 CEDAR ROW",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011514",
            "telephone_number": "908-447-1066",
            "fax_number": "888-241-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 E 84TH ST APT 15F",
            "address_2": "EXPERT MEDICAL EVALUATIONS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284456",
            "telephone_number": "212-481-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "197575",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA 64221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8045802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.