Active NPI
Katherina Peker Friedmann, MD
- General Practice Physician
- Brooklyn, NY
National Provider Identifier
1679668891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 144660
- Practice address
- 1745 East 12TH Street
#2A
Brooklyn, NY 11229 - Phone
- (718) 339-0041
- Fax
- (718) 339-0041
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 144660 | NY | Primary |
Addresses
Primary practice location
1745 East 12TH Street
#2A
Brooklyn, NY 11229
Mailing address
PO Box 297 196
1610 East 19TH Street
Brooklyn, NY 11229
Phone (718) 339-0041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01405090 | Medicaid | NY |
Other names 1
- Katrina Peker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 9, 2013 through Apr 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144660 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679668891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297 196",
"address_2": "1610 EAST 19TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-339-0041",
"fax_number": "718-339-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 EAST 12TH STREET",
"address_2": "#2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-339-0041",
"fax_number": "718-339-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKER FRIEDMANN",
"first_name": "KATHERINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "144660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01405090",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATRINA",
"last_name": "PEKER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Brooklyn, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.