Individual provider Active NPI

Barry Friedenberg, M.D.

  • Diagnostic Radiology Physician
  • Freehold, NJ
National Provider Identifier
1023030640
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA02993400 Issued in NJ
Practice address
901 W Main St
Medical Arts Building
Freehold, NJ 07728-2537
Phone
(732) 462-3302
Fax
(732) 780-6213
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA02993400 NJ Primary

Addresses

Primary practice location

901 W Main St
Medical Arts Building
Freehold, NJ 07728-2537

Mailing address

1001 W Main St
Suite C
Freehold, NJ 07728-2579
Phone (732) 462-3302

Other identifiers 1

IdentifierTypeStateIssuer
1726005MedicaidNJ

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 Medicine

State licenses

LicenseStateTypeSpecialty
25MA02993400NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freehold Mr Associates, P.a. Diagnostic Radiology Past Accepting new patients
Freehold Area Radiology, P.a. Diagnostic Radiology PastSince Jun 1, 1978 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11955/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1023030640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "SUITE C",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-462-3302",
            "fax_number": "732-780-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-462-3302",
            "fax_number": "732-780-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDENBERG",
        "first_name": "BARRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA02993400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1726005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.