Jonathan David Friedman, ATC, NREMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00036600 Issued in NJ

Practice address

2012 Linden St
Oakhurst, NJ 07755-1124

Phone

(732) 571-2868

Fax

(732) 663-0101

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821152646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 LINDEN ST",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551124",
            "telephone_number": "732-571-2868",
            "fax_number": "732-663-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 LINDEN ST",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551124",
            "telephone_number": "732-571-2868",
            "fax_number": "732-663-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "ATC, NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00036600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Foltz, PT
• Linndy Foo
• Vincent Michael Foring, D.M.D.
• Frances C Fittanto
• Alta Fried, OT
• Michael Jed Friedman, D.D.S.
• G&a Medical Associates, LLC
• Swaroopa Gadgil, MSPT
• Gajrajrx Corp
• Gajrajrx Corp

• Athletic Trainer in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.