Individual provider Active NPI

Marvin Elliott Friedlander, M.D.

  • Neurological Surgery Physician
  • Union, NJ
National Provider Identifier
1073513545
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA05251300 Issued in NJ
Practice address
700 Rahway Ave
Union, NJ 07083-6634
Phone
(908) 688-1999
Fax
(908) 688-8180
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA05251300 NJ Primary

Addresses

Primary practice location

700 Rahway Ave
Union, NJ 07083-6634

Mailing address

700 Rahway Ave
Union, NJ 07083-6634
Phone (908) 688-1999

Other identifiers 2

IdentifierTypeStateIssuer
0621501MedicaidNJ
223537990OtherNJTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000961 NJ Practitioner - Neurosurgery 8729017900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marvin.friedlander@direct.bayonnemedicalcenter.md

Organizations & group practices 1

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1073513545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836634",
            "telephone_number": "908-688-1999",
            "fax_number": "908-688-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836634",
            "telephone_number": "908-688-1999",
            "fax_number": "908-688-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLANDER",
        "first_name": "MARVIN",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA05251300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0621501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223537990",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.