Individual provider Active NPI

Paul F Friedman, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1730204058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35375 Issued in NY
Practice address
155 E 55TH St
Apartment 301
New York, NY 10022-4038
Phone
(212) 268-6700
Fax
(646) 218-2130
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35375 NY Primary

Addresses

Primary practice location

155 E 55TH St
Apartment 301
New York, NY 10022-4038

Mailing address

340 W 28TH St
Apartment 5H
New York, NY 10001-4732
Phone (917) 771-8329

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324001592 NY Order and Referring Only - DentistPractitioner - Dentist 8729385380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35375NYMDPharmacist

Interoperability endpoints

  • Direct secure messaging: pfriedman675686@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730204058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 28TH ST",
            "address_2": "APARTMENT 5H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014732",
            "telephone_number": "917-771-8329",
            "fax_number": "646-218-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E 55TH ST",
            "address_2": "APARTMENT 301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224038",
            "telephone_number": "212-268-6700",
            "fax_number": "646-218-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "35375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.