Jeffrey S Frieling MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

172713-1 Issued in NY

Legal business name

JEFFREY S FRIELING MD PC

Practice address

9016 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1530

Phone

(718) 318-1155

Fax

(516) 284-7164

NPI assigned

Dec 1, 2011

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Ederson

Title

Office Manager

Phone

(516) 295-3862

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Samuel Frieling, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1235167644
  Medicare reassignment
• Wally Kopelowitz, MD

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1639128135
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1346518644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AUERBACH LN",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115592517",
            "telephone_number": "516-284-7164",
            "fax_number": "516-284-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9016 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931530",
            "telephone_number": "718-318-1155",
            "fax_number": "516-284-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S FRIELING MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "EDERSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-295-3862",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "172713-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "75165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Humble & Healing Care Services Inc.
• Rafael Ilyayev
• Paul Jairam
• Christine A. James, OTR
• Joanne Jean-Charles
• Vera Johnson-Woodard, MHC-LP
• Billette Johnson
• Nicole Johnson
• Valynn Elizabeth Johnson
• Brittany Knapp

• Specialist in Rockaway Beach, NY
• Providers in Rockaway Beach, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.