Active NPI
Rebecca M Friedman, MD
- Pediatrics Physician
- Johnston, RI
National Provider Identifier
1639331424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD14697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.18 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09268300 | NJ | MD | Pediatrics Physician |
| MD14697 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Community Action Agency | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Tri-County Community Action Agency | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Johnston, RI
- NPI 1396780086
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Federally Qualified Health Center (FQHC)
- North Providence, RI
- NPI 1912328600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.