Individual provider Active NPI

Mark J. Friedman, M.D.

  • Ophthalmology Physician
  • South Richmond Hill, NY
National Provider Identifier
1265488597
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
171614 Issued in NY
Practice address
12506 101St Ave
South Richmond Hill, NY 11419-1412
Phone
(718) 849-2900
Fax
(718) 943-2631
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 171614 NY Primary

Addresses

Primary practice location

12506 101St Ave
South Richmond Hill, NY 11419-1412

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

260 W. Sunrise Hwy, Ste. 200
Valley Stream, NY 11581-1015
Phone (516) 825-3600

Other practice location 2

180-05 Hillside Ave
Jamaica, NY 11432-4727
Phone (718) 526-6300

Other practice location 3

1991 Marcus Ave Fl 2
New Hyde Park, NY 11042-2057
Phone (516) 354-1600

Other practice location 4

206-20 Linden Blvd
Cambria Heights, NY 11411-1524
Phone (718) 479-6600

Other identifiers 1

IdentifierTypeStateIssuer
01839541MedicaidNY

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
I20110202000532 NY Practitioner - Ophthalmology 3375723729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

12506 101St Ave
South Richmond Hill, NY 11419-1412
Phone (718) 849-2900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

20620 Linden Blvd
Cambria Hts, NY 11411
Phone (718) 479-6600

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

18005 Hillside Ave
Jamaica, NY 11432
Phone (718) 526-6300

1991 Marcus Ave
Fl 2
New Hyde Park, NY 11042
Phone (516) 354-1600

55 Water St
Fl 2
New York, NY 10041

300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700

1991 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 200-0025

12506 101st Ave
South Richmond Hl, NY 11419
Phone (718) 849-2900

260 W Sunrise Hwy
Ste 200
Valley Stream, NY 11581
Phone (516) 825-3600

Networks

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

Interoperability endpoints

  • Direct secure messaging: mfriedman3728@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1265488597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12506 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191412",
            "telephone_number": "718-849-2900",
            "fax_number": "718-943-2631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 W. Sunrise Hwy, Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115811015",
            "country_code": "US",
            "telephone_number": "516-825-3600",
            "fax_number": "516-872-5137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180-05 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114324727",
            "country_code": "US",
            "telephone_number": "718-526-6300",
            "fax_number": "718-262-7064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 Marcus Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110422057",
            "country_code": "US",
            "telephone_number": "516-354-1600",
            "fax_number": "516-941-4677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206-20 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Cambria Heights",
            "state": "NY",
            "postal_code": "114111524",
            "country_code": "US",
            "telephone_number": "718-479-6600",
            "fax_number": "718-264-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "171614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01839541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.