Active NPI
A. Jerry Friedman, M.D., P.a.
- Medical Specialty Clinic/Center
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- D0026753
- Legal business name
- A. JERRY FRIEDMAN, M.D., P.A.
- Practice address
- 9715 Medical Center Dr
Suite 531
Rockville, MD 20850-3320 - Phone
- (301) 251-1771
- NPI assigned
- Nov 24, 2008
- Last updated
- Nov 24, 2008
- 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. Alan Jerry Friedman, M.D.
- Title
- President
- Phone
- (301) 251-1771
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | D0026753 | MD | Primary |
Addresses
Primary practice location
9715 Medical Center Dr
Suite 531
Rockville, MD 20850-3320
Mailing address
9715 Medical Center Dr
Suite 531
Rockville, MD 20850-3320
Phone (301) 251-1771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367221200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15005 Shady Grove Rd
Ste 310
Rockville, MD 20850
Phone (301) 251-1771
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1083869556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR",
"address_2": "SUITE 531",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503320",
"telephone_number": "301-251-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR",
"address_2": "SUITE 531",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503320",
"telephone_number": "301-251-1771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A. JERRY FRIEDMAN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "JERRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-251-1771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MD",
"license": "D0026753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367221200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.