Jordan Fried, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02550100 Issued in NJ

Practice address

166 Bunn Dr Ste 103
Princeton, NJ 08540-2800

Phone

(609) 924-1621

NPI assigned

Jul 29, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amdent LTD.

  • Dentist
  • Wyomissing, PA
  • NPI 1386673432
  Medicare reassignment NPD
• Innovative Implant & Oral Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Feasterville Trevose, PA
  • NPI 1679547707
  Medicare reassignment NPD
• Jordan Fried DMD LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Princeton, NJ
  • NPI 1972136042
  NPD Authorized official
• Amdent LTD

  • General Practice Dentistry
  • Lititz, PA
  • NPI 1154690378
  NPD
• Amdent LTD

  • Dentist
  • Sinking Spring, PA
  • NPI 1912276130
  NPD
• Princeton Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Princeton, NJ
  • NPI 1932304615
  NPD (past)

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1932487675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BUNN DR STE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-924-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BUNN DR STE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-924-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02550100",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Freedman, PA-C
• James Henry Freeman
• Diane E Fresca, M.D.
• Antonia Catherine Fried, PSY.D.
• Eleanor R Fried, PH.D.
• Dena Seifer Friedman, M.D.
• Kathleen Kaylee Friedman, PHD, LPC, NCC
• Steven P Fries, PA-C
• Dafna Fuchs
• Marco Funiciello, DO

• Oral and Maxillofacial Surgery (Dentist) in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.