Individual provider Active NPI

Ralph B Freidin, MD

  • Internal Medicine Physician
  • Lexington, MA
National Provider Identifier
1609967298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35636 Issued in MA
Practice address
57 Bedford Street
Suite 130
Lexington, MA 02420-0001
Phone
(781) 862-7500
NPI assigned
Sep 27, 2006
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
Internal Medicine Physician 207R00000X 35636 MA Primary

Addresses

Primary practice location

57 Bedford Street
Suite 130
Lexington, MA 02420-0001

Mailing address

25 Channel Center
Unit 1102
Boston, MA 02210-3414
Phone (617) 204-9239

Other identifiers 1

IdentifierTypeStateIssuer
2033054MedicaidMA

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609967298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHANNEL CENTER",
            "address_2": "UNIT 1102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022103414",
            "telephone_number": "617-204-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BEDFORD STREET",
            "address_2": "SUITE 130",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024200001",
            "telephone_number": "781-862-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIDIN",
        "first_name": "RALPH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "35636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033054",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.