Kenneth Fried MD PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

25MA04393100 Issued in NJ

Legal business name

KENNETH FRIED MD PA

Practice address

180 N Dean St
Suite 2
Englewood, NJ 07631-2539

Phone

(201) 568-8666

Fax

(201) 568-2941

NPI assigned

Oct 27, 2011

Last updated

Apr 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Fried, M.D.NPI 1225085152

Title

Owner

Phone

(201) 568-8666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Steven Fried, M.D.

  • Surgery Physician
  • Englewood, NJ
  • NPI 1225085152
  Medicare reassignment NPD Authorized official
• Sharon Zelovic Fried, M.D.

  • Procedural Dermatology Physician
  • Englewood, NJ
  • NPI 1740236975
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1811273485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST",
            "address_2": "SUITE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312539",
            "telephone_number": "201-568-8666",
            "fax_number": "201-568-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST",
            "address_2": "SUITE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312539",
            "telephone_number": "201-568-8666",
            "fax_number": "201-568-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH FRIED MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-568-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA04393100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorian Jane Kavanagh, LCSW
• Elizabeth Kay, D.O.
• Martha Slade Kearns, MD
• Jay Joel Kelinson, M.D.
• Kelly Dawn Kelly, LSW
• Adam Kenney
• Richard Keohane, B.A.
• Deborah Kern, LCSW
• John F Kerns, MD
• Rafaella Keschner, LCSW

• Vascular Surgery Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.