Active NPI
Bruce P. Friedman LLC
- Medical Specialty Clinic/Center
- Montclair, NJ
National Provider Identifier
1124438650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 25MA07822900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce P Friedman, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Child & Adolescent Psychiatry Physician
- Montclair, NJ
- NPI 1154544518
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.