Individual provider Active NPI

Marsha Fridman, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1811052681
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336746 Issued in NY
Practice address
370 Bay Ridge Pkwy
Brooklyn, NY 11209-3176
Phone
(718) 833-7246
Fax
(718) 833-0033
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336746 NY Primary

Addresses

Primary practice location

370 Bay Ridge Pkwy
Brooklyn, NY 11209-3176

Mailing address

370 Bay Ridge Pkwy
Brooklyn, NY 11209-3176
Phone (718) 833-7246

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000141 NY Practitioner - Nurse Practitioner 7618079393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooklyn Pain Management PCGroup PAC ID 1456581719, 5 clinicians

Practice addresses (Care Compare)

370 Bay Ridge Pkwy
Brooklyn, NY 11209-3176
Phone (718) 499-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
336746NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Pain Management PC CurrentSince Jan 1, 2014 Accepting new patients
Pain Physicians Associates, PLLC CurrentSince Nov 1, 2013 Accepting new patients

Locations

370 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 499-7246

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 474-2478

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1811052681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093176",
            "telephone_number": "718-833-7246",
            "fax_number": "718-833-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093176",
            "telephone_number": "718-833-7246",
            "fax_number": "718-833-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "MARSHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.