Individual provider Active NPI

Constantin Friedman, MD PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1609191055
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
269593 Issued in NY
Practice address
1300 York Ave
New York, NY 10065-4805
Phone
(212) 746-2700
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 269593 NY Primary

Addresses

Primary practice location

1300 York Ave
New York, NY 10065-4805

Mailing address

1300 York Ave
New York, NY 10065-4805
Phone (212) 746-2700

Other identifiers 1

IdentifierTypeStateIssuer
1786607OtherNYMOUNT SINAI HOSPTIAL LIFE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141002000212 NY Practitioner - Pathology 4981824554 Reassigns benefits to 4 organizations
I20250611000423 FL Practitioner - Pathology 4981824554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Icahn School of Medicine at Mount Sinai, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181
  • Plainview Hospital Hospital, Plainview, NY, CCN 330331

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
77.61

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269593NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Apr 10, 2023 Accepting new patients
Mark Lamet MD PA CurrentSince Apr 1, 2025 Accepting new patients
A Kim Medical PC CurrentSince Jul 8, 2023 Accepting new patients
Vantage Medical Associates PC CurrentSince Feb 20, 2024 Accepting new patients
Middletown Medical PC CurrentSince Aug 8, 2023 Accepting new patients
Middletown Medical PC CurrentSince Aug 8, 2023 Accepting new patients
Integrated Medical Professionals PLLC Past Accepting new patients

Locations

4350 Sheridan St
Ste 101
Hollywood, FL 33021
Phone (954) 961-7771

350 W Main St
Babylon, NY 11702
Phone (631) 661-2277

160 4th St
Brentwood, NY 11717
Phone (516) 369-3760

331 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 971-1944

2035 Ralph Ave
Ste A2
Brooklyn, NY 11234
Phone (718) 338-2621

391 Eastern Pkwy
Brooklyn, NY 11216
Phone (718) 613-1600

5002 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 971-1944

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

111 Maltese Dr
Middletown, NY 10940

300 Community Dr
Plandome, NY 11030

2500 Nesconset Hwy
Bldg 21A
Stony Brook, NY 11790
Phone (631) 751-4000

Networks

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

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1609191055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654805",
            "telephone_number": "212-746-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654805",
            "telephone_number": "212-746-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "CONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "269593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNT SINAI HOSPTIAL LIFE NUMBER",
            "identifier": "1786607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.