Individual provider Active NPI

Kayleigh H Friedman, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Trenton, NJ
National Provider Identifier
1912697244
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02869000 Issued in NJ
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

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22DI02869000NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Kids Dental CurrentSince May 1, 2023 Accepting new patients
The Laser Dental Group Dentist PastSince May 1, 2023 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.

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.

Verify at the official NPI Registry.