Active NPI
Mark David Freilich, MD
- Specialist
- New Rochelle, NY
National Provider Identifier
1346281177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 125063
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11354275 | Other | NY | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125063 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doshi Diagnostic Imaging Services PC | Past | Accepting new patients | |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Past | 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.
-
- Diagnostic Radiology Physician
- Hicksville, NY
- NPI 1720031339
-
- Body Imaging Physician
- Woodside, NY
- NPI 1326345893
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
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.