Individual provider Active NPI

Chaya Friedman

  • Physician Assistant
  • Southfield, MI
National Provider Identifier
1215795836
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012573 Issued in MI
Practice address
24777 Greenfield Rd Ste 201
Southfield, MI 48075-3065
Phone
(609) 325-8690
NPI assigned
Mar 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 5601012573 MI Primary

Addresses

Primary practice location

24777 Greenfield Rd Ste 201
Southfield, MI 48075-3065

Mailing address

25721 Filmore PL
Southfield, MI 48075-7002
Phone (609) 325-8690

Other practice location 1

1217 Beach 9th St
Far Rockaway, NY 11691-4847
Phone (609) 325-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20251210000446 MI Practitioner - Physician Assistant 7416441258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25721 Filmore PL
Southfield, MI 48075-7002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601012573MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Healthcare Services PLLC CurrentSince Oct 4, 2025 Accepting new patients
Yachad Care Center PastSince Oct 4, 2025 Accepting new patients

Locations

24777 Greenfield Rd
#201
Southfield, MI 48075
Phone (248) 440-6069

24123 Greenfield Rd
Ste 100
Southfield, MI 48075
Phone (248) 440-6069

24777 Greenfield Rd
Ste 201
Southfield, MI 48075
Phone (248) 644-6272

Organizations & group practices 2

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": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1215795836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25721 FILMORE PL",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757002",
            "telephone_number": "609-325-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24777 GREENFIELD RD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753065",
            "telephone_number": "609-325-8690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 Beach 9th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914847",
            "country_code": "US",
            "telephone_number": "609-325-8690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "CHAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.