Organization Active NPI

Bruce P. Friedman LLC

  • Medical Specialty Clinic/Center
  • Montclair, NJ
National Provider Identifier
1124438650
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA07822900 Issued in NJ
Legal business name
BRUCE P. FRIEDMAN LLC
Practice address
207 Inwood Ave
Montclair, NJ 07043-1946
Phone
(973) 509-8400
Fax
(973) 337-5097
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Bruce P Friedman, MDNPI 1154544518
Title
Owner
Phone
(973) 509-8400

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MA07822900 NJ Primary

Addresses

Primary practice location

207 Inwood Ave
Montclair, NJ 07043-1946

Mailing address

207 Inwood Ave
Montclair, NJ 07043-1946
Phone (973) 509-8400

National Provider Directory

National Provider Directory

Locations

209 Cooper Ave
Ste 8
Montclair, NJ 07043
Phone (973) 509-8400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1124438650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 INWOOD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431946",
            "telephone_number": "973-509-8400",
            "fax_number": "973-337-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 INWOOD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431946",
            "telephone_number": "973-509-8400",
            "fax_number": "973-337-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE P. FRIEDMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-509-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA07822900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.