Individual provider Active NPI

Eric Mitchell Friedland, MS CCC-SLP, SLS

  • Speech-Language Pathologist
  • Sparta, NJ
National Provider Identifier
1588686182
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00260400 Issued in NJ
Practice address
17 Woodport Rd Ste 2G
Sparta, NJ 07871-2415
Phone
(201) 247-4419
Fax
(973) 506-6837
NPI assigned
Jul 24, 2006
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X YS0410260400 NJ
Speech-Language Pathologist 235Z00000X 41YS00260400 NJ Primary

Addresses

Primary practice location

17 Woodport Rd Ste 2G
Sparta, NJ 07871-2415

Mailing address

17 Woodport Rd Ste 2G
Sparta, NJ 07871-2415
Phone (201) 247-4419

Other identifiers 15

IdentifierTypeStateIssuer
2308875OtherUNITED HEALTHCARE
3424157OtherAETNA OPEN
0773794MedicaidNJ
223637010OtherACTIVE CARE
223637010OtherTRICARE
2236732000OtherAMERIHEALTH PIN
2239674000OtherAMERIHEALTH GROUP
2659159OtherCIGNA PPO HMO
071951S07OtherST UPIN
2236370100OtherBCBS TRADITIONAL
223637010OtherFIRST MCO
2K6509OtherHEALTH NET
3170904OtherAETNA HMO
223637010OtherUNITED HEALTHCARE
P2847360OtherOXFORD FREEDOM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000187 NJ Practitioner - Qualified Speech Language Pathologist 6406751163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1783 Union Valley Rd
West Milford, NJ 07480-2232
Phone (201) 247-4419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS00260400NJMDSpeech-Language Pathologist
YS0410260400NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Speech Services, Inc. Single Specialty CurrentSince Jan 8, 2010 Accepting new patients

Locations

1280 US Highway 46
Ste 2
Parsippany, NJ 07054
Phone (973) 334-3000

17 Woodport Rd
Ste 2G
Sparta, NJ 07871
Phone (201) 247-4419

1783 Union Valley Rd
West Milford, NJ 07480
Phone (201) 247-4419

Organizations & group practices 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1588686182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOODPORT RD STE 2G",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712415",
            "telephone_number": "201-247-4419",
            "fax_number": "973-506-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WOODPORT RD STE 2G",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712415",
            "telephone_number": "201-247-4419",
            "fax_number": "973-506-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLAND",
        "first_name": "ERIC",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "MS CCC-SLP, SLS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YS0410260400",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00260400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2308875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA OPEN",
            "identifier": "3424157",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0773794",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACTIVE CARE",
            "identifier": "223637010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "223637010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PIN",
            "identifier": "2236732000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP",
            "identifier": "2239674000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO HMO",
            "identifier": "2659159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST UPIN",
            "identifier": "071951S07",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TRADITIONAL",
            "identifier": "2236370100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MCO",
            "identifier": "223637010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K6509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3170904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "223637010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD FREEDOM",
            "identifier": "P2847360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.