Active NPI
Daniel M Friedman, DDS
- Public Health Dentistry
- Lakewood, NJ
National Provider Identifier
1326629890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 22DI02928100
- Practice address
- 1771 Madison Ave
Lakewood, NJ 08701-1242 - Phone
- (732) 364-2144
- NPI assigned
- Apr 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Public Health Dentistry | 1223D0001X | 22DI02928100 | NJ | Primary |
Addresses
Primary practice location
1771 Madison Ave
Lakewood, NJ 08701-1242
Mailing address
1741 E 24TH St
Brooklyn, NY 11229-2403
Phone (917) 370-8846
Other practice location 1
701 N Broadway
Sleepy Hollow, NY 10591-1096
Phone (914) 594-2124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220930002969 | NJ | Order and Referring Only - Dentist | 6002292893 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02928100 | NJ | MD | Public Health Dentist |
Interoperability endpoints
- daniel.friedman@chemed.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1326629890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 E 24TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292403",
"telephone_number": "917-370-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 MADISON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011242",
"telephone_number": "732-364-2144"
}
],
"practiceLocations": [
{
"address_1": "701 N Broadway",
"address_purpose": "LOCATION",
"city": "Sleepy Hollow",
"state": "NY",
"postal_code": "105911096",
"country_code": "US",
"telephone_number": "914-594-2124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "DANIEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-16",
"last_updated": "2022-09-08",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NJ",
"license": "22DI02928100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.