NPIMap

Individual provider Active NPI

Frieda Goldman, MD

  • Family Medicine Physician
  • Bound Brook, NJ
National Provider Identifier
1841270329
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07639100 Issued in NJ
Practice address
101 E Union Ave
Bound Brook, NJ 08805-1713
Phone
(732) 560-0490
Fax
(732) 560-3681
NPI assigned
Jan 19, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07639100 NJ Primary

Addresses

Primary practice location

101 E Union Ave
Bound Brook, NJ 08805-1713

Mailing address

101 E Union Ave
Bound Brook, NJ 08805-1713
Phone (732) 560-0490

Other identifiers 1

IdentifierTypeStateIssuer
0068420MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000463 NJ Practitioner - Family Practice 6305923798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlebrook Family Physicians, PAGroup PAC ID 0941259964, 2 clinicians

Practice addresses (Care Compare)

101 E Union Ave
Bound Brook, NJ 08805-1765
Phone (732) 560-0490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07639100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlebrook Family Physicians, PA Family Medicine CurrentSince Sep 11, 1998 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fgoldman59140@epicdirect.rwjbh.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/gec4dOg2yghesFrkYuCFDQ-HfVUq5AqK/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1841270329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051713",
            "telephone_number": "732-560-0490",
            "fax_number": "732-560-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E UNION AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051713",
            "telephone_number": "732-560-0490",
            "fax_number": "732-560-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "FRIEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07639100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068420",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

Verify at the official NPI Registry.