Organization Active NPI

Robert J. Friedman,M.D.,P.a.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Jupiter, FL
National Provider Identifier
1861680407
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
ROBERT J. FRIEDMAN,M.D.,P.A.
Practice address
1015 W Indiantown Rd
Suite 202
Jupiter, FL 33458-6839
Phone
(561) 748-0528
Fax
(561) 748-4718
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Dr. Robert Jay Friedman, M.D.NPI 1659465375
Title
Ceo/Owner
Phone
(561) 748-0528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

1015 W Indiantown Rd
Suite 202
Jupiter, FL 33458-6839

Mailing address

1015 W Indiantown Rd
Suite 202
Jupiter, FL 33458-6839
Phone (561) 748-0528

Other names 1

  • Headache and Pain Center of Palm Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000315 FL Part B Supplier - Clinic/Group Practice 4284603143 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

1015 W Indiantown Rd
Ste 202
Jupiter, FL 33458
Phone (561) 748-0528

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1861680407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W INDIANTOWN RD",
            "address_2": "SUITE 202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586839",
            "telephone_number": "561-748-0528",
            "fax_number": "561-748-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W INDIANTOWN RD",
            "address_2": "SUITE 202",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586839",
            "telephone_number": "561-748-0528",
            "fax_number": "561-748-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. FRIEDMAN,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "561-748-0528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Headache and Pain Center of Palm Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.