Individual provider Active NPI

Jay Lawrence Friedman, MD

  • Psychiatry Physician
  • Tenafly, NJ
National Provider Identifier
1669447587
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA068996 Issued in NJ
Practice address
111 Dean Drive
Tenafly, NJ 07670
Phone
(201) 568-8288
Fax
(201) 568-8105
NPI assigned
Feb 22, 2006
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA068996 NJ Primary
Psychiatry Physician 2084P0800X 204385 NY

Addresses

Primary practice location

111 Dean Drive
Tenafly, NJ 07670

Mailing address

2 Dean Drive
1St Floor South Wing
Tenafly, NJ 07670-2765
Phone (201) 568-8288

Other identifiers 1

IdentifierTypeStateIssuer
8177708MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040430000083 NJ Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 1850388844 Reassigns benefits to 1 organization
I20080819000596 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 1850388844 Reassigns benefits to 1 organization
I20231018003425 FL Practitioner - Psychiatry 1850388844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tenafly Psychiatric Associates LLCGroup PAC ID 1759345614, 10 clinicians
Jay Lawrence Friedman MD LLCGroup PAC ID 3476604844, 8 clinicians

Practice addresses (Care Compare)

2 Dean Dr
Tenafly, NJ 07670-2765
Phone (201) 568-8288

310 W 72ND St
1F
New York, NY 10023-2675
Phone (201) 568-8288

780 5TH Ave S
Suite 200
Naples, FL 34102-6632
Phone (201) 568-8288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA068996NJMDPsychiatry Physician
204385NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of Florida PLLC Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Tenafly Psychiatric Associates, L.L.C. Psychiatry CurrentSince Sep 10, 2008 Accepting new patients
Jay Lawrence Friedman, M.D., L.L.C. Psychiatry CurrentSince Feb 2, 2009 Accepting new patients

Locations

780 5th Ave S
Ste 200
Naples, FL 34102
Phone (201) 568-8288

111 Dean Dr
Tenafly, NJ 07670
Phone (201) 503-7173

2 Dean Dr
Tenafly, NJ 07670
Phone (201) 568-8288

2 Dean Dr
Fl 1
Tenafly, NJ 07670
Phone (201) 568-8288

640 Oak Tree Rd
Palisades, NY 10964
Phone (201) 567-3370

Organizations & group practices 3

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1669447587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DRIVE",
            "address_2": "1ST FLOOR SOUTH WING",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-568-8288",
            "fax_number": "201-568-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEAN DRIVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-568-8288",
            "fax_number": "201-568-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JAY",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA068996",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "204385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8177708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

Verify at the official NPI Registry.