Individual provider Active NPI

Elissa Gretz Friedman, M.D.

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1366492126
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
164472 Issued in NY
Practice address
5 E 98TH St
2ND Floor
New York, NY 10029-6501
Phone
(212) 241-7952
Fax
(212) 241-1238
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 164472 NY Primary

Addresses

Primary practice location

5 E 98TH St
2ND Floor
New York, NY 10029-6501

Mailing address

5 E 98TH St
2ND Floor Box 1174
New York, NY 10029-6501
Phone (212) 241-7952

Other identifiers 7

IdentifierTypeStateIssuer
3373811OtherNYAETNA HMO
02312398MedicaidNY
7176533OtherNYAETNA PPO
P3060599OtherNYOXFORD/FREEDOM/MEDICARE
1534753OtherNYUHC/HMO/POS/PPO/EPO/INDEM
52Z721OtherNYEMPIRE HMOPPO/POS/INDEMN
1443044OtherNYCIGNA/PPO/POS/HMO/INDEMN

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
I20040331000779 NY Practitioner - Obstetrics/Gynecology 2365434370 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
164472NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
Electra Health Medical PC Gynecology CurrentSince Oct 13, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 3, 2020 Accepting new patients
Mount Sinai School of Medicine of New York University Past Accepting new patients

Locations

3251 Westchester Ave
Bronx, NY 10461
Phone (718) 792-7600

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

5 E 98th St
#1170
New York, NY 10029
Phone (212) 241-7575

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

Interoperability endpoints

  • Direct secure messaging: elissa.gretz.friedman.1@31312.direct.athenahealth.com

Organizations & group practices 5

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366492126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "2ND FLOOR BOX 1174",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-7952",
            "fax_number": "212-241-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-7952",
            "fax_number": "212-241-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETZ FRIEDMAN",
        "first_name": "ELISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "164472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3373811",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312398",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7176533",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD/FREEDOM/MEDICARE",
            "identifier": "P3060599",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/HMO/POS/PPO/EPO/INDEM",
            "identifier": "1534753",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HMOPPO/POS/INDEMN",
            "identifier": "52Z721",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/PPO/POS/HMO/INDEMN",
            "identifier": "1443044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.