NPIMap

Organization Active NPI

Friedrich Boettner, MD, P.C.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1326322769
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
253920 Issued in NY
Legal business name
FRIEDRICH BOETTNER, MD, P.C.
Practice address
523 E 72ND St
7TH Floor
New York, NY 10021-4099
Phone
(212) 774-2127
Fax
(646) 797-8363
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Friedrich Boettner, M.D.
Title
Attending Orthopaedic Surgeon
Phone
(212) 774-2127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X 253920 NY Primary

Addresses

Primary practice location

523 E 72ND St
7TH Floor
New York, NY 10021-4099

Mailing address

535 East 70TH Street
Hospital for Special Surgery
New York, NY 10021-4823
Phone (212) 774-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111123000035 NY Part B Supplier - Clinic/Group Practice 5496929762 Receives reassigned benefits from 3 practitioners
Practice locations: White Plains, NY; Uniondale, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

541 E 71st St
Fl 7
New York, NY 10021
Phone (212) 606-1992

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1554/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1326322769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 EAST 70TH STREET",
            "address_2": "HOSPITAL FOR SPECIAL SURGERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-774-2127",
            "fax_number": "646-797-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E 72ND ST",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214099",
            "telephone_number": "212-774-2127",
            "fax_number": "646-797-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEDRICH BOETTNER, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BOETTNER",
        "authorized_official_first_name": "FRIEDRICH",
        "authorized_official_title_or_position": "ATTENDING ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "212-774-2127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NY",
            "license": "253920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.