Individual provider Active NPI

Mark David Freilich, MD

  • Specialist
  • New Rochelle, NY
National Provider Identifier
1346281177
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
125063 Issued in NY
Practice address
389 Beechmont Dr
New Rochelle, NY 10804-4617
Phone
(914) 576-6084
Fax
(914) 576-6084
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 125063 NY Primary

Addresses

Primary practice location

389 Beechmont Dr
New Rochelle, NY 10804-4617

Mailing address

389 Beechmont Dr
New Rochelle, NY 10804-4617
Phone (914) 576-6084

Other identifiers 1

IdentifierTypeStateIssuer
11354275OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125063NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Doshi Diagnostic Imaging Services PC PastSince Jan 1, 2012 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC PastSince Dec 1, 2015 Accepting new patients
Excel Imaging PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1346281177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 BEECHMONT DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108044617",
            "telephone_number": "914-576-6084",
            "fax_number": "914-576-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 BEECHMONT DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108044617",
            "telephone_number": "914-576-6084",
            "fax_number": "914-576-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREILICH",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "125063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11354275",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.