Individual provider Active NPI

Robert Michael Freund, MD

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1497813687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
175077 Issued in NY
Practice address
220 East 63 Street
Suite L5
New York, NY 10021
Phone
(212) 583-1200
Fax
(212) 583-0324
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 175077 NY Primary

Addresses

Primary practice location

220 East 63 Street
Suite L5
New York, NY 10021

Mailing address

220 East 63 Street
Suite L5
New York, NY 10021
Phone (212) 583-1200

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
I20120312000507 NY Practitioner - Plastic and Reconstructive Surgery 3173782190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 E End Ave
Suite CS
New York, NY 10128-7600
Phone (212) 583-1200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175077NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M. Freund, M.D., P.C. Plastic and Reconstructive Surgery CurrentSince Nov 6, 2011 Accepting new patients
Anesthesiology Associates of Boro Park, LLP PastSince Nov 6, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rfreund67973@northwell.direct-ci.com

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497813687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EAST 63 STREET",
            "address_2": "SUITE L5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-583-1200",
            "fax_number": "212-583-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EAST 63 STREET",
            "address_2": "SUITE L5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-583-1200",
            "fax_number": "212-583-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUND",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "175077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.