Organization Active NPI

I Jay Freedman DDS & Associates PC

  • General Practice Dentistry
  • Roslyn, PA
National Provider Identifier
1619026036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS020755L Issued in PA
Legal business name
I JAY FREEDMAN DDS & ASSOCIATES PC
Practice address
1260 Easton Road
Roslyn, PA 19001
Phone
(215) 884-8289
Fax
(215) 884-9085
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
I Jay Freedman, DDS
Title
Owner President
Phone
(215) 884-8289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS020755L PA Primary

Addresses

Primary practice location

1260 Easton Road
Roslyn, PA 19001

Mailing address

1260 Easton Road
Roslyn, PA 19001
Phone (215) 884-8289

National Provider Directory

National Provider Directory

Locations

1260 Easton Rd
Roslyn, PA 19001
Phone (215) 695-6666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619026036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 EASTON ROAD",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-884-8289",
            "fax_number": "215-884-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 EASTON ROAD",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "19001",
            "telephone_number": "215-884-8289",
            "fax_number": "215-884-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I JAY FREEDMAN DDS & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "I",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "215-884-8289",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020755L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.