Active NPI
Neil Freedman
- Social Worker
- New York, NY
National Provider Identifier
1780905976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 070615
- Practice address
- 74 Saint Marks PL
New York, NY 10003-8129 - Phone
- (212) 477-1565
- Fax
- (212) 674-2513
- NPI assigned
- Jun 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 070615 | NY | Primary |
Addresses
Primary practice location
74 Saint Marks PL
New York, NY 10003-8129
Mailing address
74 Saint Marks PL
New York, NY 10003-8129
Phone (212) 477-1565
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 |
|---|---|---|---|
| 070615 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients | |
| Jbfcs | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foster Care Agency
- New York, NY
- NPI 1780904698
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1780905976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 SAINT MARKS PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100038129",
"telephone_number": "212-477-1565",
"fax_number": "212-674-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 SAINT MARKS PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100038129",
"telephone_number": "212-477-1565",
"fax_number": "212-674-2513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "NEIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "070615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.