Jillian H Frieder MD Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JILLIAN H FRIEDER MD DERMATOLOGY PLLC

Practice address

1601 Clint Moore Rd Ste 145
Boca Raton, FL 33487-5720

Phone

(561) 372-9158

NPI assigned

Aug 5, 2021

Organization subpart

No

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

Authorized official

Name

Jillian Frieder, MDNPI 1023490018

Title

Owner

Phone

(561) 210-7310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Jillian Frieder, MD

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1023490018

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Kowalczyk, DO

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1598389058

  Dermatology, FL

  Medicare reassignment Care Compare group NPD
• Patrick Zito, D.O., PHARM.D.

  • MOHS-Micrographic Surgery Physician
  • Miami, FL
  • NPI 1689052748

  Dermatology, FL

  Medicare reassignment NPD
• Samantha Champion

  • Medical Physician Assistant
  • Boca Raton, FL
  • NPI 1265284921

  Single Specialty

  NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1700550563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 145",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875720",
            "telephone_number": "561-210-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 145",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875720",
            "telephone_number": "561-372-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN H FRIEDER MD DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "FRIEDER",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-210-7310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jibe Recovery Services
• Jibe Wellness Center, Inc.
• Jill C. Morris, PHD., PA
• Jill K. Bershad, LMHC, Cap
• Jill M. Hranicka, Psy.D., P.a.
• Beatriz Teresa Jimenez Cadilla, PHARMD
• Adriana Jimenez Martinez
• Analilia Jimenez, LCSW
• Carlos J Jimenez, MD
• Claudia Esperanza Jimenez, C.R.T.

• All providers in Boca Raton, FL
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.