William James Friedel, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

038555-1 Issued in NY

Practice address

285 Sills Road
BLDG 2, Ste a
Patchogue, NY 11772

Phone

(631) 475-2224

Fax

(631) 654-3997

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• M.W.D., Inc

  • Internal Medicine Physician
  • Riverhead, NY
  • NPI 1639201569
  NPD (past)
• NK Medical PC

  • Nephrology Physician
  • Shirley, NY
  • NPI 1467873018
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1659320976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS ROAD",
            "address_2": "BLDG 2, STE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-2224",
            "fax_number": "631-654-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS ROAD",
            "address_2": "BLDG 2, STE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-2224",
            "fax_number": "631-654-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEL",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "038555-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica O'Kula Berry Fox, M.S. CCC-SLP
• Tammy J Fox, RN
• Nickolas T. Frangis, PT, DPT
• Frank J. Granati DDS, PLLC
• Fresh Start Counseling, LCSW, PC
• Samantha Friedman, PA
• Susanne Irene Frische
• Nikole Frodella
• Jeanne Marie Frost, MA, SLP, CCC
• Arlene Farin Fuertes, LMT

• Oral and Maxillofacial Surgery (Dentist) in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.