KENNETH FRIED MD PA (NPI# 1811273485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811273485 |
Entity Type | Organization |
Organization Name | KENNETH FRIED MD PA |
Practice Address |
180 N Dean St Suite 2 Englewood NJ 07631-2539 |
Practice Telephone | 2015688666 |
Practice Fax Number | 2015682941 |
Mailing Telephone | 2015688666 |
Mailing Fax Number | 2015682941 |
Enumeration Date | 2011-10-27 |
Last Update Date | 2012-04-19 |
Authorized Official Name | DR. KENNETH FRIED (OWNER) |
Authorized Official Telephone | 2015688666 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MA04393100 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
180 N DEAN ST SUITE 2 |
City | ENGLEWOOD |
State | NJ |
Zip Code | 07631-2539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508231465 | Digital Imaging Center, P.a. | Radiology | 180 N Dean St, Englewood, NJ 07631-2534 | 2015-12-03 |
1982966560 | Richard A. D'amico, Md Pa | Plastic Surgery | 180 N Dean St, Suite 3n, Englewood, NJ 07631-2534 | 2012-06-11 |
1932399672 | Urology Center P A | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2007-07-30 |
1871650325 | Bergen Pulmonary & Sleep Specialists, L.L.C. | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2007-01-03 |
1518021716 | Brian A Benoff | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-12-21 |
1710046800 | Adam Glassman | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-12-06 |
1982787321 | Stuart L. Silberstein | Specialist | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-10-21 |
1114961497 | Carolyn E Goodstein Md Pa | Allergy & Immunology | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-06-16 |
1285678169 | Christopher L Petti | Radiology | 180 N Dean St, Englewood, NJ 07631 | 2006-06-15 |
1225085152 | Kenneth Steven Fried | Surgery | 180 N Dean St, Englewood, NJ 07631-2534 | 2006-05-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
Find all providers in zip 07631 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154742872 | Bergen Thoracic and Vascular Associates P.C. | Surgery | 350 Engle Street - 2 East (floor), C/o Englewood Hospital and Medical Center, Englewood, NJ 07631 | 2013-12-23 |
1861748444 | Complete Vascular Inc | Surgery | 25 Rockwood Pl, Suite #425, Englewood, NJ 07631-4957 | 2012-08-01 |
1043250434 | Herbert Dardik | Surgery | 350 Engle St, Englewood, NJ 07631-1808 | 2006-06-07 |
1033156948 | Englewood Surgical Associates, Pa | Surgery | 375 Engle St, Englewood, NJ 07631-1823 | 2006-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
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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.