Active NPI
Herbert N Freedman, M.D.
- General Practice Physician
- New York, NY
National Provider Identifier
1689705188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 102255
- Practice address
- 133 E. 73 St.
Ste 501
New York, NY 10021 - Phone
- (212) 517-1001
- Fax
- (516) 295-4727
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 102255 | NY | |
| General Practice Physician | 208D00000X | 102255 | NY | Primary |
Addresses
Primary practice location
133 E. 73 St.
Ste 501
New York, NY 10021
Mailing address
954 Lexington Ave
Ste 256
New York, NY 10021-5055
Phone (212) 517-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050307000153 | NY | Practitioner - Ophthalmology | 0749234409 |
Reassigns benefits to 2 organizations Practice locations: Cedarhurst, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102255 | NY | MD | General Practice Physician |
Organizations & group practices 2
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": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1689705188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 LEXINGTON AVE",
"address_2": "STE 256",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215055",
"telephone_number": "212-517-1001",
"fax_number": "516-295-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 E. 73 ST.",
"address_2": "STE 501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-517-1001",
"fax_number": "516-295-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "HERBERT",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2021-03-30",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "102255",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "102255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.