Active NPI
Andrew J Friedman, MD
- Obstetrics & Gynecology Physician
- Titusville, NJ
National Provider Identifier
1255399101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 51944
- Practice address
- 1125 Trenton Harbourton Rd
E31704
Titusville, NJ 08560-1504 - Phone
- (609) 730-4529
- NPI assigned
- May 2, 2006
- Reactivated
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 51944 | MA | Primary |
Addresses
Primary practice location
1125 Trenton Harbourton Rd
E31704
Titusville, NJ 08560-1504
Mailing address
1125 Trenton Harbourton Road
E31704
Titusville, NJ 08560
Phone (609) 730-4529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51944 | MA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1255399101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 TRENTON HARBOURTON ROAD",
"address_2": "E31704",
"city": "TITUSVILLE",
"state": "NJ",
"postal_code": "08560",
"telephone_number": "609-730-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 TRENTON HARBOURTON RD",
"address_2": "E31704",
"city": "TITUSVILLE",
"state": "NJ",
"postal_code": "085601504",
"telephone_number": "609-730-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "ANDREW",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2007-11-16",
"deactivation_date": "2007-07-17",
"reactivation_date": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "51944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Titusville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.