Individual provider Active NPI

Steven J Friedman, MD

  • Gastroenterology Physician
  • Rockville Centre, NY
National Provider Identifier
1174567101
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
153725 Issued in NY
Practice address
30 Hempstead Ave
Suite 148
Rockville Centre, NY 11570-4033
Phone
(516) 764-6655
Fax
(516) 764-7836
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 153725 NY Primary

Addresses

Primary practice location

30 Hempstead Ave
Suite 148
Rockville Centre, NY 11570-4033

Mailing address

30 Hempstead Ave
Suite 148
Rockville Centre, NY 11570-4033
Phone (516) 764-6655

Other identifiers 1

IdentifierTypeStateIssuer
00884419MedicaidNY

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
I20110401000020 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 3274716048 Reassigns benefits to 2 organizations
Practice locations: Rockville Centre, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Michigan Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2750 Merrick Rd
Bellmore, NY 11710-5720
Phone (516) 992-5626

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy78
Upper gastrointestinal (GI) endoscopy for acid reflux38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153725NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine CurrentSince Feb 11, 2022 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Gastroenterology Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 11, 2022 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Jun 1, 2023 Accepting new patients

Locations

2750 Merrick Rd
Bellmore, NY 11710
Phone (516) 409-2000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1174567101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE",
            "address_2": "SUITE 148",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704033",
            "telephone_number": "516-764-6655",
            "fax_number": "516-764-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HEMPSTEAD AVE",
            "address_2": "SUITE 148",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704033",
            "telephone_number": "516-764-6655",
            "fax_number": "516-764-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "153725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00884419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.