DR. JONATHAN SAMUEL FRIEDMAN (NPI# 1376617456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376617456 |
Entity Type | Individual |
Full Name | DR. JONATHAN SAMUEL FRIEDMAN |
Credential | DMD |
Practice Address |
14 S Bryn Mawr Ave Bryn Mawr PA 19010-3216 |
Mailing Address |
14 Concord Cir Bala Cynwyd PA 19004-2607 |
Practice Telephone | 6105276061 |
Mailing Telephone | 4844330582 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS036841 | PA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639598519 | Jonathan Anthony Friedman | Radiology | 2835 Sheridan Ave Apt 1, Miami Beach, FL 33140-4355 | 2014-04-08 |
1821152646 | Jonathan David Friedman | Specialist/Technologist | 2012 Linden St, Oakhurst, NJ 07755-1124 | 2006-12-19 |
1538243944 | Jonathan Mark Friedman | Dentist | 447 Route 10, Suite 5, Randolph, NJ 07869-2132 | 2006-10-24 |
1801441993 | Jonathan Friedman | Student in an Organized Health Care Education/Training Program | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-08-06 |
1396276648 | Jonathan Mark Friedman | Radiology | 820 Harrison Avenue, Fgh Building, Third Floor, Boston, MA 02118 | 2017-03-27 |
1942664172 | Jonathan Friedman | Pediatrics | 505 E 70th St, 5th Floor, New York, NY 10021-4872 | 2016-04-13 |
1801290788 | Jonathan Friedman | Anesthesiologist Assistant | 1150 N 35th Ave, Hollywood, FL 33021-5424 | 2014-10-21 |
1114360179 | Jonathan Friedman | Dentist | 1145 Sage St, Far Rockaway, NY 11691-4820 | 2013-04-09 |
1285801605 | Jonathan R Friedman | Dentist | 1930 9th Ave, Helena, MT 59601-4759 | 2008-05-14 |
1942478318 | Jonathan Friedman | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2008-02-19 |
Street Address |
14 S BRYN MAWR AVE |
City | BRYN MAWR |
State | PA |
Zip Code | 19010-3216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013029636 | Deborah Marie Signorino | Optometrist | 14 S Bryn Mawr Ave, Suite 100, Bryn Mawr, PA 19010-3216 | 2006-08-31 |
1689121543 | Shu-wen Wang | Psychologist | 14 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3216 | 2016-09-07 |
1912394867 | Stephen J Gershberg Dmd PC | Dentist | 14 S Bryn Mawr Ave, Suite #200, Bryn Mawr, PA 19010-3216 | 2015-04-17 |
1215377577 | Ruonan Zhang | Acupuncturist | 14 S Bryn Mawr Ave, Suite 101, Bryn Mawr, PA 19010-3216 | 2013-07-02 |
1780024042 | Tao Integrative Acupuncture | Acupuncturist | 14 S Bryn Mawr Ave, Suite 101, Bryn Mawr, PA 19010-3216 | 2013-07-01 |
1982972378 | Michael A Destefano | Psychologist | 14 S Bryn Mawr Ave, Suite 205, Bryn Mawr, PA 19010-3216 | 2011-12-13 |
1427340744 | Colleen Ann Quinn | Psychologist | 14 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3216 | 2011-05-04 |
1285937144 | Joshua Masse | Psychologist | 14 S Bryn Mawr Ave, #205, Bryn Mawr, PA 19010-3216 | 2010-12-15 |
1376846840 | Sandra Lee Walsh | Psychologist | 14 S Bryn Mawr Ave, Suite 205, Bryn Mawr, PA 19010-3216 | 2010-12-06 |
1639486913 | Stephen J Gershberg | Dentist | 14 S Bryn Mawr Ave, Suite #200, Bryn Mawr, PA 19010-3216 | 2010-09-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
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Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306051669 | Susan A Cutler | Dentist | 14 S Bryn Mawr Ave Ste 200, Bryn Mawr, PA 19010-3216 | 2007-05-11 |
1285729269 | John Whytosek | Dentist | 29 Morris Ave, Bryn Mawr Central, Bryn Mawr, PA 19010-3335 | 2006-10-04 |
1285078857 | Joshua Adam Evensky | Dentist | 29 Morris Ave, Bryn Mawr, PA 19010 | 2013-04-25 |
1740448869 | Maki Ishii Tsou | Dentist | 919 Conestoga Rd, Building 2, Suite 209, Bryn Mawr, PA 19010-1352 | 2008-05-27 |
1538366612 | Jeffrey Pearlman-storch | Dentist | 711 W Lancaster Ave, Bryn Mawr, PA 19010-3401 | 2007-07-02 |
1063634244 | Bryn Mawr Periodontal Associates, Ltd. | Dentist | 1201 County Line Rd, Suite 201, Bryn Mawr, PA 19010-2636 | 2007-05-03 |
1801017017 | Thomas J. Seibert | Dentist | 919 Conestoga Rd, Building Two - Suite 209, Bryn Mawr, PA 19010-1352 | 2007-05-02 |
1851447056 | Andrew Michael Halbert | Dentist | 234 S Bryn Mawr Ave, Suite 200, Bryn Mawr, PA 19010-2133 | 2007-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508471913 | Martin L. Supowitz, Dmd, Msd, LLC | Dentist | 5433 Walnut St Ste 200, Pittsburgh, PA 15232-3215 | 2020-09-11 |
1780239228 | Hatboro Dental & Specialty LLC | Dentist | 122 N York Rd Ste 2, Hatboro, PA 19040-2622 | 2019-08-01 |
1679125835 | Amanda Marie Clemente | Dentist | 3501 Terrace St # B89, Pittsburgh, PA 15213-2523 | 2019-07-09 |
1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
1043771447 | Kara Deanne Dragone | Dentist | 8890 Royal Manor Dr Apt 302, Allison Park, PA 15101-2783 | 2019-03-27 |
1801356423 | Nicholas Anzur | Dentist | 4225 Trindle Rd, Camp Hill, PA 17011-5752 | 2019-03-20 |
1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
1699242024 | Michael S Ayes Dds and Associates Pennsylvania Vi, PC | Dentist | 70 Buckwalter Rd Ste 309, Royersford, PA 19468-1846 | 2018-10-24 |
1043736051 | Miriam Ting | Dentist | 250 W Lancaster Ave Ste 215, Paoli, PA 19301-1751 | 2017-08-21 |
1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.