Individual provider Active NPI

Noah David Freedman, MD

  • Psychiatry Physician
  • Kew Gardens, NY
National Provider Identifier
1366417669
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2016-0272 Issued in NM
Practice address
8300 Talbot St Apt 2B
Kew Gardens, NY 11415-3516
Phone
(718) 440-7867
Fax
(505) 930-5398
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 325477-01 NY
Psychiatry Physician 2084P0800X MD2016-0272 NM Primary

Addresses

Primary practice location

8300 Talbot St Apt 2B
Kew Gardens, NY 11415-3516

Mailing address

8300 Talbot St Apt 2B
Kew Gardens, NY 11415-3516
Phone (718) 440-7867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160817000375 NM Practitioner - Psychiatry 9436193737 Reassigns benefits to 1 organization
I20231222000365 NY Practitioner - Psychiatry 9436193737 Reassigns benefits to 1 organization
Practice locations: Kew Gardens, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Camino Osito
Santa Fe, NM 87505-8100
Phone (505) 471-4070

8300 Talbot St
Apt 2B
Kew Gardens, NY 11415-3516
Phone (718) 440-7867

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
325477-01NYMDPsychiatry Physician

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1366417669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 TALBOT ST APT 2B",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153516",
            "telephone_number": "718-440-7867",
            "fax_number": "505-930-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TALBOT ST APT 2B",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153516",
            "telephone_number": "718-440-7867",
            "fax_number": "505-930-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "NOAH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "325477-01",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2016-0272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.