Individual provider Active NPI

Sayuri No Mollie Friedland, MD

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1346735388
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
292821 Issued in NY
Practice address
90-04 161St Street
5TH Floor
Jamaica, NY 11432
Phone
(718) 523-2133
Fax
(718) 523-5833
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 292821 NY Primary

Addresses

Primary practice location

90-04 161St Street
5TH Floor
Jamaica, NY 11432

Mailing address

60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2438

Other practice location 1

150 Essex St
New York, NY 10002-2301
Phone (212) 545-2438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711001782 NY Practitioner - Family Practice 5193071892

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292821NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morningside Medical PLLC Family Medicine CurrentSince Dec 8, 2024 Accepting new patients
Community Healthcare Network, Inc. Past Accepting new patients
Community Healthcare Network Inc Past Accepting new patients

Locations

2298 Frederick Douglass Blvd
New York, NY 10027
Phone (212) 300-2836

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1346735388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2438",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-04 161ST STREET",
            "address_2": "5TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-523-2133",
            "fax_number": "718-523-5833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Essex St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100022301",
            "country_code": "US",
            "telephone_number": "212-545-2438",
            "fax_number": "646-312-0481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDLAND",
        "first_name": "SAYURI",
        "middle_name": "NO MOLLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "292821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.