{
"Npi": {
"NPI": "1972708139",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FRIEDEL",
"FirstName": "MARK",
"MiddleName": "ERIK",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD, MPH",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "660 WHITE PLAINS RD FL 4",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TARRYTOWN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10591-5187",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-333-5801",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 BOWMAN DRIVE",
"SecondLinePracticeLocationAddress": "SUITE D-285",
"PracticeLocationAddressCityName": "VOORHEES",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08043-9626",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-576-5746",
"PracticeLocationAddressFaxNumber": "856-519-5295",
"EnumerationDate": "06/18/2007",
"LastUpdateDate": "02/20/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Y00000X",
"TaxonomyName": "Otolaryngology Physician",
"LicenseNumber": "25MA09273800",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}