Active NPI
Kayleigh H Friedman, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Trenton, NJ
National Provider Identifier
1912697244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22DI02869000
- Practice address
- 2929 Klockner Rd
Trenton, NJ 08690-2809 - Phone
- (609) 586-6603
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02869000 | NJ | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22DI02869000 | NJ | Primary |
Addresses
Primary practice location
2929 Klockner Rd
Trenton, NJ 08690-2809
Mailing address
207 Van Vorst St Apt 726
Jersey City, NJ 07302-6337
Phone (516) 477-2640
Other practice location 1
2501 Kuser Rd Ste 2
Robbinsville, NJ 08691-3386
Phone (609) 689-1212
Other practice location 2
1205 Coolidge Ave
Union, NJ 07083-3720
Phone (908) 686-2080
Other practice location 3
2201 Vauxhall Rd
Union, NJ 07083-5812
Phone (908) 888-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02869000 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Kids Dental | Current | Accepting new patients | |
| The Laser Dental Group | Dentist | Past | Accepting new patients |
Locations
1205 Coolidge Ave
Union, NJ 07083
Phone (908) 245-2642
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health Dentistry
- Union, NJ
- NPI 1174292734
-
- Dentist
- Union, NJ
- NPI 1699868414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1912697244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 VAN VORST ST APT 726",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073026337",
"telephone_number": "516-477-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 KLOCKNER RD",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086902809",
"telephone_number": "609-586-6603"
}
],
"practiceLocations": [
{
"address_1": "2501 Kuser Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Robbinsville",
"state": "NJ",
"postal_code": "086913386",
"country_code": "US",
"telephone_number": "609-689-1212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1205 Coolidge Ave",
"address_purpose": "LOCATION",
"city": "Union",
"state": "NJ",
"postal_code": "070833720",
"country_code": "US",
"telephone_number": "908-686-2080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2201 Vauxhall Rd",
"address_purpose": "LOCATION",
"city": "Union",
"state": "NJ",
"postal_code": "070835812",
"country_code": "US",
"telephone_number": "908-888-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "KAYLEIGH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2024-05-14",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02869000",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NJ",
"license": "22DI02869000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.