NPIMap

Individual provider Active NPI

David Fridman, M.D.

  • Cardiovascular Disease Physician
  • Cliffside Park, NJ
National Provider Identifier
1649610965
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10756300 Issued in NJ
Practice address
596 Anderson Ave Ste 302
Cliffside Park, NJ 07010-1856
Phone
(201) 987-6090
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 25MA10756300 NJ Primary

Addresses

Primary practice location

596 Anderson Ave Ste 302
Cliffside Park, NJ 07010-1856

Mailing address

1077 River Rd Apt 504
Edgewater, NJ 07020-1354
Phone (718) 744-8556

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
I20200505002448 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9739468794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Fridman LLCGroup PAC ID 6608207725, 5 clinicians

Practice addresses (Care Compare)

596 Anderson Ave
Suite 302
Cliffside Park, NJ 07010-1856
Phone (201) 987-6090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10756300NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Fridman LLC Multi-Specialty CurrentSince Apr 1, 2020 Accepting new patients
Medical Associates of Englewood, PC Multi-Specialty CurrentSince Aug 12, 2020 Accepting new patients

Locations

596 Anderson Ave
Ste 302
Cliffside Pk, NJ 07010
Phone (201) 943-2700

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

Organizations & group practices 2

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 8

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1649610965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 RIVER RD APT 504",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201354",
            "telephone_number": "718-744-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE STE 302",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101856",
            "telephone_number": "201-987-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDMAN",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10756300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.