Jay M Friedman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00287300 Issued in NJ

Practice address

907 N Main Rd
Vineland, NJ 08360-8200

Phone

(856) 691-0720

Fax

(856) 691-6163

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delaware Ophthalmology Consultants PA

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1467496638

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285641142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 WYNNEWOOD DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616756",
            "telephone_number": "856-692-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608200",
            "telephone_number": "856-691-0720",
            "fax_number": "856-691-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JAY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00287300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "35018",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2184876002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Paula Frasnelli, LCSW
• Debby R Frazier, NP
• Charlyse Frempong
• Fresenius Medical Care Vineland, LLC
• Joshua Grant Freyer, DPM
• Bryan Fromkin, APN
• Ivis Fullard
• G and G Medical Transportation, LLC
• Adriana Gable
• Alexa L Gaetano, DO

• Optometrist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Optometrist in New Jersey

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

Verify at the official NPI Registry.