Active NPI
Jeffrey Michael Friedman, M.D.
- Special Hospital
- New York, NY
National Provider Identifier
1447481536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- 135209
- Practice address
- 1230 York Ave
Box 305
New York, NY 10065-6307 - Phone
- (212) 327-8800
- Fax
- (212) 327-7792
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | 135209 | NY | Primary |
Addresses
Primary practice location
1230 York Ave
Box 305
New York, NY 10065-6307
Mailing address
1230 York Ave
Box 305
New York, NY 10065-6307
Phone (212) 327-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135209 | Other | NY | NEW YORK STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135209 | NY | MD | Special Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1447481536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 YORK AVE",
"address_2": "BOX 305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656307",
"telephone_number": "212-327-8800",
"fax_number": "212-327-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 YORK AVE",
"address_2": "BOX 305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656307",
"telephone_number": "212-327-8800",
"fax_number": "212-327-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "NY",
"license": "135209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE MEDICAL LICENSE",
"identifier": "135209",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.