Individual provider Active NPI

Rebecca M Friedman, MD

  • Pediatrics Physician
  • Johnston, RI
National Provider Identifier
1639331424
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD14697 Issued in RI
Practice address
1126 Hartford Ave
Johnston, RI 02919-7109
Phone
(401) 351-2750
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 258688 NY
Pediatrics Physician 208000000X 25MA09268300 NJ
Pediatrics Physician 208000000X MD14697 RI Primary

Addresses

Primary practice location

1126 Hartford Ave
Johnston, RI 02919-7109

Mailing address

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400

Other practice location 1

40 Candace St
Providence, RI 02908-3747
Phone (401) 444-0550

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.friedman@providencechc.directbygreenway.com
Direct Messaging Address 0215.0004@direct.bvchc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, RI2 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
I20141104002686 TX Practitioner - Pediatric Medicine 6800018995 Reassigns benefits to 1 organization
I20171013001531 RI Practitioner - Pediatric Medicine 6800018995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.18 of 100Reported as group
Quality
61.12
Improvement activities
40
Cost
81.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09268300NJMDPediatrics Physician
MD14697RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Community Action Agency CurrentSince May 1, 2023 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 22, 2014 Accepting new patients
Tri-County Community Action Agency CurrentSince May 1, 2023 Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1126 Hartford Ave
Johnston, RI 02919
Phone (401) 351-2750

33 Maple St
North Providence, RI 02911
Phone (401) 351-2750

Interoperability endpoints

  • Direct secure messaging: rebecca.friedman.p4@direct.bvchc.nextgenshare.com

Organizations & group practices 3

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1639331424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400",
            "fax_number": "401-444-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197109",
            "telephone_number": "401-351-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Candace St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029083747",
            "country_code": "US",
            "telephone_number": "401-444-0550",
            "fax_number": "401-444-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "258688",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09268300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD14697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.friedman@providencechc.directbygreenway.com",
            "affiliation": "N",
            "address_1": "40 Candace St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029083747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0215.0004@direct.bvchc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1126 Hartford Ave",
            "city": "Johnston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029197109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.