Active NPI
Abraham Rubin Freilich, M.D. PC
- Specialist
- Brooklyn, NY
National Provider Identifier
1730180795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 133031
- Practice address
- 813 Quentin Rd
Suite 104
Brooklyn, NY 11223-2251 - Phone
- (718) 998-8291
- Fax
- (718) 375-5212
- NPI assigned
- Aug 2, 2005
- Reactivated
- Apr 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 133031 | NY | Primary |
Addresses
Primary practice location
813 Quentin Rd
Suite 104
Brooklyn, NY 11223-2251
Mailing address
813 Quentin Rd
Suite 104
Brooklyn, NY 11223-2251
Phone (718) 998-8291
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00399651 | Medicaid | NY | |
| 02901595 | Medicaid | NY |
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 |
|---|---|---|---|---|
| I20060920000495 | NY | Practitioner - Dermatology | 7911902267 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1730180795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 QUENTIN RD",
"address_2": "SUITE 104",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232251",
"telephone_number": "718-998-8291",
"fax_number": "718-375-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 QUENTIN RD",
"address_2": "SUITE 104",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232251",
"telephone_number": "718-998-8291",
"fax_number": "718-375-5212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREILICH",
"first_name": "ABRAHAM",
"middle_name": "RUBIN",
"name_prefix": "Dr.",
"credential": "M.D. PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2008-02-29",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "133031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00399651",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02901595",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 Feb 29, 2008; 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.