Individual provider Active NPI

Sheree Friedman

  • Speech-Language Pathologist
  • Bellmore, NY
National Provider Identifier
1235673377
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014463 Issued in NY
Practice address
2249 Brody LN
Bellmore, NY 11710-5101
Phone
(516) 523-1257
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001941 NY
Speech-Language Pathologist 235Z00000X 014463 NY Primary

Addresses

Primary practice location

2249 Brody LN
Bellmore, NY 11710-5101

Mailing address

2249 Brody LN
Bellmore, NY 11710-5101
Phone (516) 523-1257

Other practice location 1

34-65 192nd street
bellmore, NY 11710
Phone (718) 886-3456

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

LicenseStateTypeSpecialty
001941NYMDMarriage & Family Therapist
014463NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1235673377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 BRODY LN",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105101",
            "telephone_number": "516-523-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 BRODY LN",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105101",
            "telephone_number": "516-523-1257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34-65 192nd street",
            "address_purpose": "LOCATION",
            "city": "bellmore",
            "state": "NY",
            "postal_code": "11710",
            "country_code": "US",
            "telephone_number": "718-886-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "SHEREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001941",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.