NPIMap

Organization Active NPI

Jordan Fried DMD LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Princeton, NJ
National Provider Identifier
1972136042
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
JORDAN FRIED DMD LLC
Practice address
166 Bunn Dr Ste 103
Princeton, NJ 08540-2800
Phone
(609) 924-1621
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Jordan Fried, DMDNPI 1932487675
Title
Owner
Phone
(215) 317-7557

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

166 Bunn Dr Ste 103
Princeton, NJ 08540-2800

Mailing address

166 Bunn Dr Ste 103
Princeton, NJ 08540-2800
Phone (609) 924-1621

National Provider Directory

National Provider Directory

Locations

166 Bunn Dr
Ste 103
Princeton, NJ 08540
Phone (609) 924-1621

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1972136042",
    "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": {
        "organization_name": "JORDAN FRIED DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-317-7557",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.