Individual provider Active NPI

Frederica Gottdiener, RN

  • School Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1740855592
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
778055-01 Issued in NY
Practice address
1520 E 13TH St
Brooklyn, NY 11230-7106
Phone
(718) 382-1060
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X 778055-01 NY Primary

Addresses

Primary practice location

1520 E 13TH St
Brooklyn, NY 11230-7106

Mailing address

1064 E 14TH St
Brooklyn, NY 11230-4266
Phone (917) 859-6366

Other names 1

  • Mrs. Freidy Gottdiener Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
778055-01NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York League for Early Learning PastSince Jan 17, 2022 Accepting new patients

Organizations & group practices 1

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1740855592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304266",
            "telephone_number": "917-859-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307106",
            "telephone_number": "718-382-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTDIENER",
        "first_name": "FREDERICA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "778055-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREIDY",
            "last_name": "GOTTDIENER",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional 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 Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.