Active NPI
Leah Friedman, D.D.S., M.M.SC.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hewlett, NY
National Provider Identifier
1760627285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 050622
- Practice address
- 1229 Broadway
Suite 102
Hewlett, NY 11557-2014 - Phone
- (516) 374-7677
- NPI assigned
- Dec 12, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 050622 | NY | Primary |
Addresses
Primary practice location
1229 Broadway
Suite 102
Hewlett, NY 11557-2014
Mailing address
1229 Broadway
Suite 102
Hewlett, NY 11557-2014
Phone (516) 374-7677
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050622 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1760627285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 BROADWAY",
"address_2": "SUITE 102",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572014",
"telephone_number": "516-374-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 BROADWAY",
"address_2": "SUITE 102",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572014",
"telephone_number": "516-374-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "LEAH",
"name_prefix": "Dr.",
"credential": "D.D.S., M.M.SC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "050622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.