Gavin David Friedman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

250523 Issued in NY

Practice address

15 West 70TH Street
New York, NY 10023-4507

Phone

(917) 607-1255

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Psychiatry

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.42 of 100Reported as individual

Quality

77.55

Promoting interoperability

100

Improvement activities

40

Cost

53.48

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15625/brand/1/csg/1/fhir/r4
• Direct secure messaging: gavin.friedman.1@15625.direct.athenahealth.com

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.

• Gavin Friedman MD P.C

  • Psychiatry Physician
  • New York, NY
  • NPI 1699196055
  Medicare reassignment NPD Authorized official
• Faculty Psychiatric Associates, PC

  • Child & Adolescent Psychiatry Physician
  • Valhalla, NY
  • NPI 1003864729
  NPD (past)
• Westchester Faculty Psychological Associates PC

  • Psychologist
  • Valhalla, NY
  • NPI 1528080603
  NPD (past)
• Yorkville Psychiatry PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1669628749
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423958400000",
    "number": "1306997093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CENTRAL PARK W",
            "address_2": "17F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254819",
            "telephone_number": "917-607-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WEST 70TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234507",
            "telephone_number": "917-607-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "GAVIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "250523",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "250523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300034341",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03019129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Brooke Friedman, MD
• Erica Sue Friedman, MD
• Frederick Friedman Jr., M.D.
• Gabrielle Friedman, LCSW
• Gary S Friedman, DPM
• Hallie Friedman, MS, CCC-SLP
• Hannah Lynn Friedman
• Harold Norman Friedman, O.D
• Heather Friedman, M.S. ED., L.M.S.W.
• Henrietta Li Friedman, OTR/L

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2015; 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.

Verify at the official NPI Registry.