Individual provider Active NPI

Benyamin Chanoch Friedman, MD

  • Pediatrics Physician
  • Monsey, NY
National Provider Identifier
1407927742
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
220591 Issued in NY
Practice address
441 Route 306
Monsey, NY 10952-1233
Phone
(845) 362-3185
Fax
(845) 354-9691
NPI assigned
Nov 10, 2006
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 220591 NY Primary

Addresses

Primary practice location

441 Route 306
Monsey, NY 10952-1233

Mailing address

9 Hemion Rd Ste 101
Suffern, NY 10901-4914
Phone (845) 362-3185

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
I20140812001178 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1456578632

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220591NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dymed Pediatrics Pediatrics CurrentSince Jun 16, 2024 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients

Locations

9 Hemion Rd
Ste 101
Suffern, NY 10901
Phone (845) 362-3185

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1407927742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HEMION RD STE 101",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014914",
            "telephone_number": "845-362-3185",
            "fax_number": "845-354-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 ROUTE 306",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521233",
            "telephone_number": "845-362-3185",
            "fax_number": "845-354-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "BENYAMIN",
        "middle_name": "CHANOCH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "220591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.