Individual provider Active NPI

Walter E Friedel, M.D.

  • Specialist
  • Parsippany, NJ
National Provider Identifier
1124013602
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03144700 Issued in NJ
Practice address
1259 Route 46
BLDG 3 Ste 314
Parsippany, NJ 07054-4913
Phone
(973) 316-9800
Fax
(973) 316-9805
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA03144700 NJ Primary

Addresses

Primary practice location

1259 Route 46
BLDG 3 Ste 314
Parsippany, NJ 07054-4913

Mailing address

1259 Route 46
BLDG 3 Ste 314
Parsippany, NJ 07054-4913
Phone (973) 316-9800

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
I20110321000393 NJ Practitioner - Obstetrics/Gynecology 4587847140 Practice locations: Denville, NJ

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1124013602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 ROUTE 46",
            "address_2": "BLDG 3 STE 314",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544913",
            "telephone_number": "973-316-9800",
            "fax_number": "973-316-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 ROUTE 46",
            "address_2": "BLDG 3 STE 314",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544913",
            "telephone_number": "973-316-9800",
            "fax_number": "973-316-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEL",
        "first_name": "WALTER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03144700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.