NPIMap

Individual provider Active NPI

Jeffrey Lawrence Friedman, D.O

  • Specialist
  • Springfield, MA
National Provider Identifier
1013911957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
225175 Issued in NY
Practice address
271 Carew St
Springfield, MA 01104-2377
Phone
(413) 748-9000
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 225175 NY Primary

Addresses

Primary practice location

271 Carew St
Springfield, MA 01104-2377

Mailing address

71 Harvest LN
West Hartford, CT 06117-2328
Phone (860) 231-0344

Other identifiers 1

IdentifierTypeStateIssuer
2111055MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060317000263 MA Practitioner - Diagnostic Radiology 5496762379 Reassigns benefits to 2 organizations
I20130417000580 CT Practitioner - Diagnostic Radiology 5496762379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rowan University School of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging LLCGroup PAC ID 2860451648, 15 clinicians

Practice addresses (Care Compare)

71 Harvest LN
Hartford, CT 06117-2328
Phone (800) 841-4236

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225175NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc. CurrentSince May 4, 2024 Accepting new patients
Greater Springfield MRI Limited Partnership CurrentSince Jul 1, 2005 Accepting new patients
Riverbend Medical Group, Inc CurrentSince May 4, 2024 Accepting new patients
Radiology Associates of Albuquerque, PA CurrentSince Oct 1, 2022 Accepting new patients
Advanced Imaging LLC CurrentSince Oct 1, 2022 Accepting new patients
Providence Diagnostic Imaging, Inc. CurrentSince Jan 1, 2006 Accepting new patients

Locations

701 Enfield St
Enfield, CT 06082
Phone (413) 748-6484

1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819

291 Moody St
Ludlow, MA 01056
Phone (800) 688-6663

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

Interoperability endpoints

  • Direct secure messaging: jfriedman3102845@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013911957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HARVEST LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172328",
            "telephone_number": "860-231-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JEFFREY",
        "middle_name": "LAWRENCE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "225175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111055",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.