Individual provider Active NPI

David J Friedman, MD

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1457457210
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
180706 Issued in NY
Practice address
630 Park Ave
New York, NY 10065-6560
Phone
(212) 439-1600
Fax
(212) 439-6269
NPI assigned
Sep 16, 2006
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 180706 NY Primary

Addresses

Primary practice location

630 Park Ave
New York, NY 10065-6560

Mailing address

630 Park Ave
New York, NY 10021-6544
Phone (212) 439-1600

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
I20070324000158 NY Practitioner - Plastic and Reconstructive Surgery 6204930647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Albany Medical College of Union University, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

630 Park Ave
New York, NY 10065-6560
Phone (212) 439-1600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy18
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Spine and Sports Medicine, LLC Current Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Sep 7, 2021 Accepting new patients
Nassau Health Care Corporation CurrentSince May 29, 2023 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Sep 7, 2021 Accepting new patients
Nassau Health Care Corporation CurrentSince May 29, 2023 Accepting new patients
David Jay Friedman, MD, PC Plastic and Reconstructive Surgery CurrentSince Mar 30, 2007 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
LFL Internal Medicine Associates PC Past Accepting new patients

Locations

1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: davidfriedman@ossm.allscriptsdirect.net
  • Direct secure messaging: dfriedman18896@sbhny.direct-ci.net
  • Direct secure messaging: dfriedman67974@northwell.direct-ci.com

Organizations & group practices 8

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1457457210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216544",
            "telephone_number": "212-439-1600",
            "fax_number": "212-439-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656560",
            "telephone_number": "212-439-1600",
            "fax_number": "212-439-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "180706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.