Individual provider Active NPI

Douglas Friedrich, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1548201619
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
215058 Issued in NY
Practice address
200 W 57TH St
15TH Floor
New York, NY 10019-3211
Phone
(917) 771-2468
Fax
(212) 247-8093
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 215058 NY Primary

Addresses

Primary practice location

200 W 57TH St
15TH Floor
New York, NY 10019-3211

Mailing address

200 W 57TH St
15TH Floor
New York, NY 10019-3211
Phone (917) 771-2468

Other identifiers 1

IdentifierTypeStateIssuer
02391835MedicaidNY

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
I20031110000432 NY Practitioner - OphthalmologyPractitioner - Internal Medicine 8325951981 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

200 W 57TH St
FL 15
New York, NY 10019-3271
Phone (718) 343-4273

205 W End Ave
Apt 1P
New York, NY 10023-4817
Phone (212) 724-4430

55 E 34TH St
New York, NY 10016-4337
Phone (212) 252-6131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients
Douglas B. Friedrich, MD, P.C. Ophthalmology Current Accepting new patients
Douglas B. Friedrich, MD, P. C. Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients
SLR Ophthalmology Associates, PC Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
St. Vincent'S Midtown Hospital Past Accepting new patients
St Vincents Hospital and Medical Center Past Accepting new patients

Locations

13620 38th Ave
Ste 6H
Flushing, NY 11354
Phone (718) 762-3790

6135 Dry Harbor Rd
Middle Vlg, NY 11379
Phone (718) 505-7500

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

1886 Broadway
Fl 2
New York, NY 10023
Phone (212) 247-8100

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

200 W 57th St
Ste 200
New York, NY 10019
Phone (212) 399-7000

200 W 57th St
New York, NY 10019
Phone (212) 247-8100

355 W 52nd St
Fl 7
New York, NY 10019
Phone (646) 778-5550

200 W 57th St
Fl 15
New York, NY 10019
Phone (212) 247-8100

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

205 W End Ave
Apt 1P
New York, NY 10023
Phone (212) 724-4430

Networks

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

Organizations & group practices 9

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1548201619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-771-2468",
            "fax_number": "212-247-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-771-2468",
            "fax_number": "212-247-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDRICH",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "215058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02391835",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.