Individual provider Active NPI

Eric L Freeman, MD

  • Orthopaedic Surgery Physician
  • Cedarhurst, NY
National Provider Identifier
1306817515
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
203136 Issued in NY
Practice address
657 Central Ave
1St Floor
Cedarhurst, NY 11516
Phone
(516) 295-0111
Fax
(516) 295-9438
NPI assigned
Jan 27, 2006
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 203136 NY Primary

Addresses

Primary practice location

657 Central Ave
1St Floor
Cedarhurst, NY 11516

Mailing address

657 Central Ave
Cedarhurst, NY 11516-2320
Phone (516) 295-0111

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
I20101221001225 NY Practitioner - Orthopedic Surgery 0446228175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
43.25 of 100Reported as individual
Quality
39.23
Promoting interoperability
0
Improvement activities
30
Cost
67.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203136NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Island Orthopedics, P.C. Orthopaedic Surgery CurrentSince Oct 18, 2019 Accepting new patients
South Island Orthopedics, P.C. Orthopaedic Surgery CurrentSince Oct 18, 2019 Accepting new patients

Locations

657 Central Ave
Cedarhurst, NY 11516
Phone (516) 374-0670

657 Central Ave
Ste 1
Cedarhurst, NY 11516

9520 Queens Blvd
Rego Park, NY 11374
Phone (718) 459-0857

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20311/brand/2/csg/21/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1306817515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CENTRAL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162320",
            "telephone_number": "516-295-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CENTRAL AVE",
            "address_2": "1ST FLOOR",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "516-295-0111",
            "fax_number": "516-295-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ERIC",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "203136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.