Active NPI
Nathaniel Friedman
- Pediatric Dentistry
- Airmont, NY
National Provider Identifier
1205429644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 062964
- Practice address
- 382A Route 59
Airmont, NY 10952-3439 - Phone
- (845) 581-3380
- NPI assigned
- Feb 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 07448 | NJ | |
| Pediatric Dentistry | 1223P0221X | 062964 | NY | Primary |
Addresses
Primary practice location
382A Route 59
Airmont, NY 10952-3439
Mailing address
382A Route 59
Airmont, NY 10952-3439
Phone (845) 581-3380
Other practice location 1
400 Kinderkamack Rd
Oradell, NJ 07649-1508
Phone (551) 210-4012
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07448 | NJ | MD | Pediatric Dentist |
| 062964 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1205429644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382A ROUTE 59",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109523439",
"telephone_number": "845-581-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382A ROUTE 59",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109523439",
"telephone_number": "845-581-3380"
}
],
"practiceLocations": [
{
"address_1": "400 Kinderkamack Rd",
"address_purpose": "LOCATION",
"city": "Oradell",
"state": "NJ",
"postal_code": "076491508",
"country_code": "US",
"telephone_number": "551-210-4012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "NATHANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-17",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "07448",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "062964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Airmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.