NPIMap

Individual provider Active NPI

Jeffrey Friedman, D.O.

  • Internal Medicine Physician
  • Stratford, NJ
National Provider Identifier
1477532802
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB05920500 Issued in NJ
Practice address
205 E Laurel Rd
1St Floor
Stratford, NJ 08084-1301
Phone
(856) 783-0870
Fax
(856) 783-0649
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB05920500 NJ Primary

Addresses

Primary practice location

205 E Laurel Rd
1St Floor
Stratford, NJ 08084-1301

Mailing address

333 Laurel Oak Rd
Voorhees, NJ 08043-4453
Phone (856) 344-7360

Other identifiers 1

IdentifierTypeStateIssuer
6520804MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000244 NJ Practitioner - Internal Medicine 6305743402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians

Practice addresses (Care Compare)

901 Route 168
Suite 210
Turnersville, NJ 08012-3203
Phone (856) 536-1515

Hospital & facility affiliations

  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Jefferson Health at Home by Bayada Home health agency, Voorhees, NJ, CCN 317073
  • Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MB05920500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Care Alliance, PC CurrentSince Aug 22, 2020 Accepting new patients
Advocare, LLC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
James a Prate LLC Past Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine Past Accepting new patients
Family Physicians at Burlington PastSince Aug 22, 2020 Accepting new patients

Locations

1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

485 Williamstown New Freedom Rd
Sicklerville, NJ 08081
Phone (856) 237-8100

901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221

151 Fries Mill Rd
Ste 400
Turnersville, NJ 08012
Phone (856) 374-5802

3001 E Evesham Rd
Voorhees, NJ 08043
Phone (856) 751-1600

2601 E Evesham Rd
Voorhees, NJ 08043
Phone (856) 596-1113

Interoperability endpoints

  • Direct secure messaging: jfriedman40332@direct.cooperhealth.edu

Organizations & group practices 6

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1477532802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434453",
            "telephone_number": "856-344-7360",
            "fax_number": "856-783-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E LAUREL RD",
            "address_2": "1ST FLOOR",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841301",
            "telephone_number": "856-783-0870",
            "fax_number": "856-783-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB05920500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6520804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.