Individual provider Active NPI

Jamie B Friedman, PA-C

  • Medical Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1447330923
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103899 Issued in FL
Practice address
1054 Gateway Blvd
Suite 110
Boynton Beach, FL 33426-8301
Phone
(561) 738-4770
Fax
(561) 738-9727
NPI assigned
Oct 17, 2006
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103899 FL Primary

Addresses

Primary practice location

1054 Gateway Blvd
Suite 110
Boynton Beach, FL 33426-8301

Mailing address

9564 Equus Cir
Boynton Beach, FL 33472-4334
Phone (561) 306-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110408000604 FL Practitioner - Physician Assistant 6002907615 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103899FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians Past Accepting new patients
S FL Behavioral Health Assoc, LLC PastSince Jul 31, 2025 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1447330923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9564 EQUUS CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724334",
            "telephone_number": "561-306-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 GATEWAY BLVD",
            "address_2": "SUITE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268301",
            "telephone_number": "561-738-4770",
            "fax_number": "561-738-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JAMIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.