NPIMap

Organization Active NPI

Central Physicians & Surgeons PA

  • Orthopaedic Surgery Physician
  • West Berlin, NJ
National Provider Identifier
1679520340
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
33179 Issued in NJ
Legal business name
CENTRAL PHYSICIANS & SURGEONS PA
Practice address
403 Commerce LN Ste 3
West Berlin, NJ 08091-2513
Phone
(856) 767-8787
Fax
(856) 767-6140
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Dr. Roy B Friedenthal, MD
Title
President of Corporation
Phone
(609) 561-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 33179 NJ Primary

Addresses

Primary practice location

403 Commerce LN Ste 3
West Berlin, NJ 08091-2513

Mailing address

403 Commerce LN Ste 3
West Berlin, NJ 08091-2513
Phone (856) 767-8787

Other identifiers 1

IdentifierTypeStateIssuer
3018407MedicaidNJ

Other names 1

  • Central Orthopedic Associates Doing business as

National Provider Directory

National Provider Directory

Locations

820 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 561-8787

403 Commerce Ln
Ste 3
West Berlin, NJ 08091
Phone (856) 767-8787

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1679520340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 COMMERCE LN STE 3",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912513",
            "telephone_number": "856-767-8787",
            "fax_number": "856-767-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 COMMERCE LN STE 3",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912513",
            "telephone_number": "856-767-8787",
            "fax_number": "856-767-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHYSICIANS & SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDENTHAL",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "609-561-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "33179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3018407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Orthopedic Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Orthopedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.