Joel R Fried, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0029305 Issued in NY

Practice address

5C Medical Park Dr
Pomona, NY 10970-3516

Phone

(845) 354-1655

Fax

(845) 354-8470

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1265592976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON CIRCLE",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563740",
            "telephone_number": "845-639-1902",
            "fax_number": "845-354-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5C MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-354-1655",
            "fax_number": "845-354-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "JOEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0029305",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI00898400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00325219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antaeya Nyree Foster, PA-C
• Kyle Franceschini
• Arlene Francis, SLP
• Jaheem Ashanti Francis, DPT, PT
• Kewanna D Frazier, OTA
• Lynn Carla Friedman, DC
• Naomi Friedman
• Susan Friedman
• Donna M Friel, LPN
• Yehudis R Fromowitz, LCSW

• Dentist in Pomona, NY
• Providers in Pomona, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.