Risa Laurel Fridy, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

270628 Issued in NY

Practice address

14 E 90TH St # 1B
New York, NY 10128-0671

Phone

(212) 987-1414

Fax

(212) 987-1518

NPI assigned

Mar 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Risa Laurel Yavorsky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346549128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E 90TH ST # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280671",
            "telephone_number": "212-987-1414",
            "fax_number": "212-987-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 90TH ST # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280671",
            "telephone_number": "212-987-1414",
            "fax_number": "212-987-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDY",
        "first_name": "RISA",
        "middle_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "270628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISA",
            "last_name": "YAVORSKY",
            "middle_name": "LAUREL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabrielle Fridman
• Jake Adam Fridman
• Maina Fridman, PH.D., LCSW-R, ACSW
• Shelley Fridman, RPA-C
• Viktoriya Fridman, NP
• Roger Frie, PH.D. PSY.D.
• Fried & Kohler Inc.
• Arielle Sydney Fried
• Bette Fried, LCSW
• Daniel A Fried, PA

• Pediatric Adolescent Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.