Active NPI
Friedberg Eye Associates PA
Doing business as Woodbury Eye Wear
- Eyewear Supplier
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 31TD00355700
- Legal business name
- FRIEDBERG EYE ASSOCIATES PA
- Doing business as
- Woodbury Eye Wear
- Practice address
- 661 N Broad St
Woodbury, NJ 08096-1621 - Phone
- (856) 845-7968
- Fax
- (856) 845-8544
- NPI assigned
- Apr 23, 2018
- Last updated
- Oct 15, 2021
- 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
- Howard Lyle Friedberg, MD
- Title
- President
- Phone
- (865) 845-7968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 31TD00355700 | NJ | Primary |
Addresses
Primary practice location
661 N Broad St
Woodbury, NJ 08096-1621
Mailing address
661 N Broad St
Woodbury, NJ 08096-1621
Phone (856) 845-7068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3375200 | Medicaid | NJ |
Other names 1
- Woodbury Eye Wear
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930002417 | NJ | DME Supplier - Physician - Ophthalmology | 5395896153 |
1 other NPI on this enrollment Practice locations: Woodbury, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Friedberg Eye Associates PA
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Mullica Hill, NJ
- NPI 1427923382
-
- Optometrist
- Woodbury, NJ
- NPI 1780559641
Interoperability endpoints
- https://app.meldrx.com/api/fhir/imedicware_friedbergeye
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Woodbury, NJ
- NPI 1164427696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1316434624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 N BROAD ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961621",
"telephone_number": "856-845-7068",
"fax_number": "856-845-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 N BROAD ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961621",
"telephone_number": "856-845-7968",
"fax_number": "856-845-8544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIEDBERG EYE ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-23",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A",
"authorized_official_last_name": "FRIEDBERG",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "LYLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-845-7968",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NJ",
"license": "31TD00355700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3375200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodbury Eye Wear",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.