Organization Active NPI

Lisa Nan Freedman MD. PC.

  • Obstetrics & Gynecology Physician
  • East Syracuse, NY
National Provider Identifier
1942499694
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1854361 Issued in NY
Legal business name
LISA NAN FREEDMAN MD. PC.
Practice address
5800 Heritage Landing Dr
Suite B
East Syracuse, NY 13057-9378
Phone
(315) 471-6442
Fax
(315) 471-3074
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Siew Chean Lim
Title
Officer Manager
Phone
(315) 471-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 1854361 NY Primary

Addresses

Primary practice location

5800 Heritage Landing Dr
Suite B
East Syracuse, NY 13057-9378

Mailing address

5800 Heritage Landing Dr
Suite B
East Syracuse, NY 13057-9378
Phone (315) 471-6442

National Provider Directory

National Provider Directory

Locations

5800 Heritage Landing Dr
Ste B
East Syracuse, NY 13057
Phone (315) 464-0158

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1942499694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HERITAGE LANDING DR",
            "address_2": "SUITE B",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579378",
            "telephone_number": "315-471-6442",
            "fax_number": "315-471-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HERITAGE LANDING DR",
            "address_2": "SUITE B",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579378",
            "telephone_number": "315-471-6442",
            "fax_number": "315-471-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA NAN FREEDMAN MD. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "SIEW",
        "authorized_official_middle_name": "CHEAN",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "315-471-6442"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "1854361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.