Active NPI
Mark J. Friedman, M.D.
- Ophthalmology Physician
- South Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 171614
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01839541 | Medicaid | NY |
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
Enrollment records 1
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
Practice addresses (Care Compare)
12506 101St Ave
South Richmond Hill, NY 11419-1412
Phone (718) 849-2900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | 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
- mfriedman3728@direct.acpny.com
- 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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.