Samuel Friedman, M.D.
Individual provider Active NPI Family Medicine Physician · Flanders, NJ
NPI 1366836611 · NPPES record last updated Dec 6, 2018
Key facts
- NPI
- 1366836611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MA10290000 (NJ)
- Practice address
- 183 Route 206 Ste 1
Flanders, NJ 07836-9261 - Phone
- (973) 347-3277
- Fax
- (973) 347-3141
- NPI assigned
- Mar 25, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advocare, LLC
Practice addresses (Care Compare)
183 US 206
Flanders, NJ 07836-9261
Phone (973) 347-3277
Hospital & facility affiliations
- Morristown Medical Center
- Ahs Hospital Corp
- Kessler Rehab Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181127001340 | NJ | Practitioner - Family Practice | 5698019982 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10290000 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Family Medicine | Current |
Accepting new patients |
| Advocare , LLC | Current |
Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients |
Locations
169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034
183 US Highway 206 S
Flanders, NJ 07836
Phone (973) 347-3277
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777
Interoperability endpoints
- samuel.friedman@advocaredoctors.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA10290000 | NJ | Yes |
Addresses
Primary practice location
183 Route 206 Ste 1
Flanders, NJ 07836-9261
Mailing address
183 Route 206 Ste 1
Flanders, NJ 07836-9261
Phone (973) 347-3277
Other providers in Flanders, NJ
- Jacob Fleischman
- Cristina Fleming
- Samantha Frank
- Stephanie Fredericka
- Rachel French
- Dolagy Gad
- Maryam M Ghanem
- Suma Bala Ghanta
- Dwight David Godwin
- Mary Jane Goldberg
All providers in Flanders, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.