Active NPI
Terry D Friedman, MD
- Nuclear Cardiology Physician
- Cherry Hill, NJ
National Provider Identifier
1760419659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- License
- MD020895E
- Practice address
- 1400 Route 70 E
Cherry Hill, NJ 08034-2230 - Phone
- (856) 216-0300
- Fax
- (856) 216-7142
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | MD020895E | PA | Primary |
Addresses
Primary practice location
1400 Route 70 E
Cherry Hill, NJ 08034-2230
Mailing address
1400 Route 70 E
Cherry Hill, NJ 08034-2230
Phone (856) 216-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016885800001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD020895E | PA | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| Cardiac Interpretation Services, LLC | Past | Accepting new patients | |
| University of Penn - Medical Group | Nuclear Cardiology | Past | Accepting new patients |
Locations
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311
Organizations & group practices 4
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.
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Nuclear Cardiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1760419659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 ROUTE 70 E",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342230",
"telephone_number": "856-216-0300",
"fax_number": "856-216-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 ROUTE 70 E",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342230",
"telephone_number": "856-216-0300",
"fax_number": "856-216-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "TERRY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "PA",
"license": "MD020895E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016885800001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.