NPIMap

Organization Active NPI

Jay Lawrence Friedman, M.D., L.L.C.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1881829109
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
204385-1 Issued in NY
Legal business name
JAY LAWRENCE FRIEDMAN, M.D., L.L.C.
Practice address
310 W 72ND St Ste 1F
New York, NY 10023-2675
Phone
(212) 877-3999
Fax
(201) 568-8105
NPI assigned
May 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dr. Jay L Friedman, MDNPI 1669447587
Title
Owner
Phone
(201) 314-7648

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 204385-1 NY Primary

Addresses

Primary practice location

310 W 72ND St Ste 1F
New York, NY 10023-2675

Mailing address

2 Dean Dr
1St Floor South Wing
Tenafly, NJ 07670-2765
Phone (201) 568-8288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090624000544 NY Part B Supplier - Clinic/Group Practice 3476604844 Receives reassigned benefits from 8 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1881829109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DR",
            "address_2": "1ST FLOOR SOUTH WING",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-568-8288",
            "fax_number": "201-568-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 72ND ST STE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232675",
            "telephone_number": "212-877-3999",
            "fax_number": "201-568-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY LAWRENCE FRIEDMAN, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-17",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-314-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "204385-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.