Individual provider Active NPI

Fern G Fried, M.D.

  • Dermatology Physician
  • Yardley, PA
National Provider Identifier
1760422422
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD050478L Issued in PA
Practice address
903 Floral Vale Blvd
Yardley, PA 19067-5515
Phone
(215) 579-6155
Fax
(215) 860-0723
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD050478L PA Primary

Addresses

Primary practice location

903 Floral Vale Blvd
Yardley, PA 19067-5515

Mailing address

903 Floral Vale Blvd
Yardley, PA 19067-5515
Phone (215) 579-6155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yardleydermatologyassociates@direct.hsxsepa.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000255 PA Practitioner - Dermatology 2163611153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yardley Dermatology Associates, P.C.Group PAC ID 6103003942, 15 clinicians

Practice addresses (Care Compare)

903 Floral Vale Blvd
Yardley, PA 19067-5515
Phone (215) 579-6155

Merit-based Incentive Payment System (MIPS)

Final score
90.46 of 100Reported as individual
Quality
80.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions377
Removal or shaving of skin growth70
Skin biopsy95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD050478LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yardley Dermatology Associates, P.C. Dermatology CurrentSince Apr 1, 2011 Accepting new patients

Locations

803 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

908 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

903 Floral Vale Blvd
Ste 903
Yardley, PA 19067

903 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

Interoperability endpoints

  • Direct secure messaging: yardleydermatologyassociates@direct.hsxsepa.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1760422422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675515",
            "telephone_number": "215-579-6155",
            "fax_number": "215-860-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675515",
            "telephone_number": "215-579-6155",
            "fax_number": "215-860-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "FERN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD050478L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yardleydermatologyassociates@direct.hsxsepa.org",
            "affiliation": "N",
            "endpointDescription": "YDA direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "903 Floral Vale Blvd",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190675515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.