Organization Active NPI

Dr.Jerome T. Friedman

  • Oral and Maxillofacial Surgery Clinic/Center
  • New York, NY
National Provider Identifier
1922170356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
023857 Issued in NY
Legal business name
DR.JEROME T. FRIEDMAN
Practice address
800A 5TH Ave
Suite 403
New York, NY 10021-7215
Phone
(212) 371-9085
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerome T Friedman
Title
D.D.S.
Phone
(212) 371-9085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 023857 NY Primary

Addresses

Primary practice location

800A 5TH Ave
Suite 403
New York, NY 10021-7215

Mailing address

800A 5TH Ave
Suite 403
New York, NY 10021-7215
Phone (212) 371-9085

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922170356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE",
            "address_2": "SUITE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217215",
            "telephone_number": "212-371-9085",
            "fax_number": "212-486-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE",
            "address_2": "SUITE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217215",
            "telephone_number": "212-371-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JEROME T. FRIEDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "212-371-9085"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "023857",
            "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 Aug 22, 2020; 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.