Individual provider Active NPI

Amy L Friedman, MD

  • Transplant Surgery Physician
  • Syracuse, NY
National Provider Identifier
1346223567
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
162856 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-7317
Fax
(315) 464-6288
NPI assigned
Nov 22, 2005
Last updated
Oct 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 162856 NY Primary
Surgery Physician 208600000X 162856 NY

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-7317

Other identifiers 1

IdentifierTypeStateIssuer
01519566MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071024000011 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 0749376614 Reassigns benefits to 10 organizations
I20231023002166 CT Practitioner - General Surgery 0749376614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
State University of New York Downstate Medical Center, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelham Pkwy Medical of New York LLCGroup PAC ID 4082976386, 23 clinicians
Foxhurst Medical of New York LLCGroup PAC ID 6901151778, 21 clinicians

Practice addresses (Care Compare)

384 E 149TH St
Suite C
Bronx, NY 10455-3908
Phone (347) 429-7699

947 Southern Blvd
Suite B
Bronx, NY 10459-3401
Phone (718) 513-5855

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162856NYMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Pkwy Medical of New York LLC CurrentSince Mar 16, 2023 Accepting new patients
Norwood Medical of New York LLC CurrentSince Sep 14, 2024 Accepting new patients
Mott Haven Medical of New York LLC CurrentSince May 3, 2024 Accepting new patients
Foxhurst Medical of New York LLC CurrentSince Mar 16, 2023 Accepting new patients

Locations

304 Wainwright Dr
Ste 120
Northbrook, IL 60062

2157 White Plains Rd
Ste B
Bronx, NY 10462

384 E 149th St
Ste 201B
Bronx, NY 10455
Phone (347) 897-5441

384 E 149th St
Ste C
Bronx, NY 10455
Phone (347) 429-7699

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

16203 Jamaica Ave
Ste 200C
Jamaica, NY 11432

2369 Central Park Ave
Ste C
Yonkers, NY 10710
Phone (718) 732-1071

Organizations & group practices 11

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1346223567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-7317",
            "fax_number": "315-464-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-7317",
            "fax_number": "315-464-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "162856",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "162856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01519566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.