Organization Active NPI

Gary R Friedman MD PC

  • Cardiovascular Disease Physician
  • Roslyn, NY
National Provider Identifier
1235305442
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
142901 Issued in NY
Legal business name
GARY R FRIEDMAN MD PC
Practice address
1044 Northern Blvd
Suite 303
Roslyn, NY 11576-1514
Phone
(516) 621-5249
Fax
(516) 621-5264
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Gary Ross Friedman, MD
Title
President
Phone
(516) 621-5249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 142901 NY Primary

Addresses

Primary practice location

1044 Northern Blvd
Suite 303
Roslyn, NY 11576-1514

Mailing address

1044 Northern Blvd
Suite 303
Roslyn, NY 11576-1514
Phone (516) 621-5249

National Provider Directory

National Provider Directory

Locations

1044 Northern Blvd
Ste 303
Roslyn, NY 11576
Phone (516) 621-5249

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1235305442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD",
            "address_2": "SUITE 303",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761514",
            "telephone_number": "516-621-5249",
            "fax_number": "516-621-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD",
            "address_2": "SUITE 303",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761514",
            "telephone_number": "516-621-5249",
            "fax_number": "516-621-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R FRIEDMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-621-5249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "142901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.