DR. ELLIOTT FRIEDMAN (NPI# 1831285378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831285378 |
| Entity Type | Individual |
| Full Name | DR. ELLIOTT FRIEDMAN |
| Credential | M.D. |
| Practice Address |
8900 Van Wyck Expressway Jamaica NY 11747 |
| Mailing Address |
80 Marcus Drive Provider Enrollment - Jhmc Er Melville NY 11747 |
| Practice Telephone | 7182066600 |
| Practice Fax Number | 6314544161 |
| Mailing Telephone | 6313917700 |
| Mailing Fax Number | 6314544161 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
180396 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01646226 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568651065 | Elliott Robert Friedman | Radiology | 6411 Fannin St, Radiology, Houston, TX 77030-1501 | 2007-10-20 |
| 1578519740 | Elliott Theodore Friedman | Internal Medicine | 111 Maltese Dr, Middletown, NY 10940-2115 | 2006-05-26 |
| Street Address |
8900 VAN WYCK EXPRESSWAY |
| City | JAMAICA |
| State | NY |
| Zip Code | 11747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831159870 | Robert Greenbaum | Radiology | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2006-03-24 |
| 1871112946 | Kristina Marianna Kelvy | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Department of Family Medicine, Jamaica, NY 11418 | 2020-04-09 |
| 1174017271 | Tejas Patel | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2018-06-21 |
| 1417475864 | Sherise Warner Rollock | Nurse Practitioner | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2017-09-06 |
| 1598209215 | George Eapen | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica Hospital Medical Center, Jamaica, NY 11418 | 2016-12-14 |
| 1225483092 | Usman Khalid Naqvi | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica Hospital Medical Center, Jamaica, NY 11418 | 2016-04-29 |
| 1417311358 | Kinjal Solanki | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2016-04-06 |
| 1962893941 | Nay Lin Oo | Internal Medicine | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2015-02-11 |
| 1942690193 | Malhar Agarwal | Internal Medicine | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2015-01-27 |
| 1932514023 | Teona Cozianu Cotan | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica Hospital Medical Center, Jamaica, NY 11418 | 2014-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
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| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679775068 | Jacques Regine Domond | Emergency Medicine | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2007-06-05 |
| 1396845822 | Vipin Agarwalla | Emergency Medicine | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2006-09-24 |
| 1053418095 | Sergey Galustyan | Emergency Medicine | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2006-09-20 |
| 1023116191 | Maria Teresa Lechuga | Emergency Medicine | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2006-09-20 |
| 1427156678 | Dakshayani Guttal | Emergency Medicine | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2006-09-20 |
| 1659479897 | Sujata Gupta | Emergency Medicine | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2006-09-20 |
| 1336192509 | Saqiba Khan | Emergency Medicine | 8900 Van Wyck Expy, Jamaica Hospital Emergency Dept, Jamaica, NY 11418-2897 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700317443 | April Michelle Roma Venn | Emergency Medicine | Department of Emergency Medicine, 622 W 168th St, Vc-260, New York, NY 10032 | 2017-03-24 |
| 1881021046 | Linda M Bacon | Emergency Medicine | 595 Willoughby Ave, Brooklyn, NY 11206-6811 | 2013-10-02 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1568800324 | Cloty Victoria Toro | Emergency Medicine | 11 Havenwood Rd, Staten Island, NY 10301-2718 | 2013-06-13 |
| 1518223973 | Linell De-silva Skeene | Emergency Medicine | 25 Dunhill Rd, New Hyde Park, NY 11040-2248 | 2012-04-10 |
| 1073812038 | David Michael Pinter | Emergency Medicine | 14001 Jewel Ave Apt 2, Flushing, NY 11367 | 2011-03-16 |
| 1306157375 | Zaira Rivera-diaz | Emergency Medicine | 3315 Rochambeau Ave Fl 2, Bronx, NY 10467-2848 | 2010-06-24 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1558500504 | Janienne Ellen Kondrich | Emergency Medicine | 525 E 68th St # M130, New York, NY 10065-4870 | 2009-02-16 |
| 1780702647 | Eric Weinberg | Emergency Medicine | Lijmc-dept of Emergency Medicine - Peds Em, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2007-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.