NPIMap

Organization Active NPI

Yankee Neurophysiology, P.C.

  • Clinical Neurophysiology Physician
  • Conshohocken, PA
National Provider Identifier
1407192594
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
YANKEE NEUROPHYSIOLOGY, P.C.
Practice address
300 Conshohocken State Rd Ste 450
Conshohocken, PA 19428-3801
Phone
(484) 351-8459
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Dr. Stephen Fried, M.D.
Title
Owner
Phone
(484) 351-8459

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X Primary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X

Addresses

Primary practice location

300 Conshohocken State Rd Ste 450
Conshohocken, PA 19428-3801

Mailing address

1141 N Loop 1604 E Ste 105-484
San Antonio, TX 78232-1339
Phone (484) 351-8459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, TX, DC, FL, VA, CA7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20130218000428 PA Part B Supplier - Clinic/Group Practice 5698929883 Receives reassigned benefits from 2 practitioners
Practice locations: Bethlehem, PA; Glen Mills, PA
O20130220000016 NY Part B Supplier - Clinic/Group Practice 5698929883 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY; Woodmere, NY; Williamsville, NY; Skaneateles, NY; Melville, NY; Manhasset, NY; Jericho, NY
O20210409002139 TX Part B Supplier - Clinic/Group Practice 5698929883 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX
O20240221001563 DC Part B Supplier - Clinic/Group Practice 5698929883 Receives reassigned benefits from 1 practitioner
Practice locations: Potomac, MD
O20240301001611 FL Part B Supplier - Clinic/Group Practice 5698929883 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Parkland, FL
O20250620002101 VA Part B Supplier - Clinic/Group Practice 5698929883 Receives reassigned benefits from 1 practitioner
Practice locations: Poquoson, VA
O20250714001286 CA Part B Supplier - Clinic/Group Practice 5698929883 Receives reassigned benefits from 2 practitioners
Practice locations: Alameda, CA; Rancho Palos Verdes, CA

National Provider Directory

National Provider Directory

Locations

1141 N Loop 1604 E
Ste 105484
San Antonio, TX 78232

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1407192594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N LOOP 1604 E STE 105-484",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339",
            "telephone_number": "484-351-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONSHOHOCKEN STATE RD STE 450",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194283801",
            "telephone_number": "484-351-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKEE NEUROPHYSIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-351-8459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.

Verify at the official NPI Registry.