Active NPI
Gregorio Zvi Fridlender, MD MSC
- Internal Medicine Physician
- Wynnewood, PA
National Provider Identifier
1609022706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD434571
- Practice address
- 200 N Wynnewood Ave
Apt. B313
Wynnewood, PA 19096-1433 - Phone
- (484) 416-3093
- NPI assigned
- Aug 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD434571 | PA | Primary |
Addresses
Primary practice location
200 N Wynnewood Ave
Apt. B313
Wynnewood, PA 19096-1433
Mailing address
200 N Wynnewood Ave
Apt. B313
Wynnewood, PA 19096-1433
Phone (484) 416-3093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD434571 | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1609022706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N WYNNEWOOD AVE",
"address_2": "APT. B313",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190961433",
"telephone_number": "484-416-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N WYNNEWOOD AVE",
"address_2": "APT. B313",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190961433",
"telephone_number": "484-416-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDLENDER",
"first_name": "GREGORIO",
"middle_name": "ZVI",
"name_prefix": "Dr.",
"credential": "MD MSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD434571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.