Active NPI
Alan Stanley Friedman, MD
- Diagnostic Radiology Physician
- Egg Harbor Township, NJ
National Provider Identifier
1982617312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA03432800
- Practice address
- 3100 Hingston Ave
Ste 102
Egg Harbor Township, NJ 08234-4409 - Phone
- (609) 677-9729
- Fax
- (609) 652-6270
- NPI assigned
- Aug 15, 2006
- Last updated
- Nov 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA03432800 | NJ | Primary |
Addresses
Primary practice location
3100 Hingston Ave
Ste 102
Egg Harbor Township, NJ 08234-4409
Mailing address
72 W Jimmie Leeds Rd
Suite 1100
Galloway, NJ 08205-9406
Phone (609) 677-9729
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00793701 | Other | NJ | RAILROAD MEDICARE |
| 300081012 | Other | NJ | RAILROAD MEDICARE |
| 2386704 | Medicaid | NJ | |
| P00847767 | Other | NJ | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Radiologist PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1982617312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 W JIMMIE LEEDS RD",
"address_2": "SUITE 1100",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082059406",
"telephone_number": "609-677-9729",
"fax_number": "609-652-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 HINGSTON AVE",
"address_2": "STE 102",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082344409",
"telephone_number": "609-677-9729",
"fax_number": "609-652-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "ALAN",
"middle_name": "STANLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA03432800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00793701",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300081012",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2386704",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00847767",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.