Active NPI
Wildcat Neurophysiology, PC
- Clinical Neurophysiology Physician
- Conshohocken, PA
National Provider Identifier
1073026993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- WILDCAT NEUROPHYSIOLOGY, PC
- Practice address
- 300 Conshohocken State Rd Ste 450
Conshohocken, PA 19428-3801 - Phone
- (484) 351-8459
- Fax
- (484) 351-8810
- NPI assigned
- Nov 14, 2017
- Last updated
- Aug 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Fried, MD
- Title
- Owner
- Phone
- (484) 351-8459
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | ||
| Clinical Neurophysiology Physician | 2084N0600X | NU | Primary | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | NU | ||
| Electrodiagnostic Medicine Physician | 204R00000X | NU |
Addresses
Primary practice location
300 Conshohocken State Rd Ste 450
Conshohocken, PA 19428-3801
Mailing address
1141 N Loop 1604 E Ste 105-484
San Antonio, TX 78232-1339
Phone (484) 351-8459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA, TX, CA, DC, FL, WA, NY, VA, OK
Enrollment records 10
National Provider Directory
National Provider DirectoryLocations
1141 N Loop 1604 E
Ste 105484
San Antonio, TX 78232
Practitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Iselin, NJ
- NPI 1982843462
-
- Physical Medicine & Rehabilitation Physician
- Conshohocken, PA
- NPI 1659302123
Electrodiagnostic Medicine
-
- Neurology Physician
- Jamison, PA
- NPI 1588811194
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Williamsville, NY
- NPI 1205806627
-
- Neurology Physician
- Auburn, NY
- NPI 1396009981
-
- Clinical Neurophysiology Physician
- Rancho Palos Verdes, CA
- NPI 1548898554
-
- Neurology with Special Qualifications in Child Neurology Physician
- Plano, TX
- NPI 1043371784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1073026993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 N LOOP 1604 E STE 105-484",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321339",
"telephone_number": "484-351-8459",
"fax_number": "484-351-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CONSHOHOCKEN STATE RD STE 450",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194283801",
"telephone_number": "484-351-8459",
"fax_number": "484-351-8810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILDCAT NEUROPHYSIOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-14",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "FRIED",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-351-8459",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.