Active NPI
Amy L Friedman, MD
- Transplant Surgery Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 162856
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01519566 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- State University of New York Downstate Medical Center, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 128 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162856 | NY | MD | Transplant Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelham Pkwy Medical of New York LLC | Current | Accepting new patients | |
| Norwood Medical of New York LLC | Current | Accepting new patients | |
| Mott Haven Medical of New York LLC | Current | Accepting new patients | |
| Foxhurst Medical of New York LLC | Current | 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.
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1730547522
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1285156067
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1457873234
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1336628130
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1720565922
-
- Vascular Surgery Physician
- Bronx, NY
- NPI 1205332905
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1487489688
-
- Vascular Surgery Physician
- Stamford, CT
- NPI 1245839869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.