Organization Active NPI

Harry a. Fried M.D. LLC

  • Gastroenterology Physician
  • Westwood, NJ
National Provider Identifier
1487743837
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA060074 Issued in NJ
Legal business name
HARRY A. FRIED M.D. LLC
Practice address
333 Old Hook Rd
Suite # 101
Westwood, NJ 07675-3200
Phone
(201) 594-0535
Fax
(201) 594-0538
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Dr. Harry A Fried, MDNPI 1609810126
Title
Owner/Physician
Phone
(201) 594-0535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MA060074 NJ Primary

Addresses

Primary practice location

333 Old Hook Rd
Suite # 101
Westwood, NJ 07675-3200

Mailing address

333 Old Hook Rd
Suite # 101
Westwood, NJ 07675-3200
Phone (201) 594-0535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121212000238 NJ Part B Supplier - Clinic/Group Practice 5092967422 Receives reassigned benefits from 1 practitioner
Practice locations: Westwood, NJ

National Provider Directory

National Provider Directory

Locations

333 Old Hook Rd
Ste 101
Westwood, NJ 07675
Phone (201) 497-6255

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1487743837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 OLD HOOK RD",
            "address_2": "SUITE # 101",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753200",
            "telephone_number": "201-594-0535",
            "fax_number": "201-594-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 OLD HOOK RD",
            "address_2": "SUITE # 101",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753200",
            "telephone_number": "201-594-0535",
            "fax_number": "201-594-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY A. FRIED M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "201-594-0535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA060074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.