Active NPI
E. Kenneth Freiberg, D.O.
- Endocrinology, Diabetes & Metabolism Physician
- Brooklyn, NY
National Provider Identifier
1871598169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 104283
- Practice address
- 102 Norman Ave
Brooklyn, NY 11222-2934 - Phone
- (718) 383-3068
- Fax
- (516) 239-8123
- NPI assigned
- Jun 15, 2005
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 104283 | NY | Primary |
Addresses
Primary practice location
102 Norman Ave
Brooklyn, NY 11222-2934
Mailing address
102 Norman Ave
Brooklyn, NY 11222-2934
Phone (718) 383-3068
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0C138P | Other | NY | HIP |
| 503988 | Other | NY | AETNA |
| 00153101 | Other | NY | FIDELIS |
| 01035065 | Medicaid | NY |
Other names 1
- Dr. Edward Kenneth Freiberg
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104283 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1871598169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 NORMAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112222934",
"telephone_number": "718-383-3068",
"fax_number": "516-239-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 NORMAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112222934",
"telephone_number": "718-383-3068",
"fax_number": "516-239-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIBERG",
"first_name": "E.",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "104283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "0C138P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "503988",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "00153101",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01035065",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EDWARD",
"last_name": "FREIBERG",
"middle_name": "KENNETH",
"prefix": "DR.",
"credential": "D.O.",
"code": "5",
"type": "Other 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 Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.