Gavin Friedman MD P.C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GAVIN FRIEDMAN MD P.C

Practice address

15 W 70TH St
New York, NY 10023-4507

Phone

(917) 607-1255

Fax

(815) 550-1734

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Gavin Friedman, MDNPI 1306997093

Title

MD

Phone

(917) 607-1255

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15625/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gavin David Friedman, M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1306997093
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423958400000",
    "number": "1699196055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CENTRAL PARK W",
            "address_2": "17F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254819",
            "telephone_number": "917-607-1255",
            "fax_number": "815-550-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234507",
            "telephone_number": "917-607-1255",
            "fax_number": "815-550-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN FRIEDMAN MD P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2015-02-15",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-607-1255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03019129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asaf A Gave, MD
• Georgia Gaveras, D.O.
• Mary Gavey, AGPCNP-BC
• Noah Veis Gavil, MD, PHD
• Giselle G Gavilanes, LCSW
• Elizabeth Gavin, M.S., CCC, TSSLD
• Kristin Gavin
• Nicholas Gavin, M.D.
• Theresa Gavin
• Aileen Gavina, DPT

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.