MEDICARE: JERROLD A FRIEDMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	MD067120L	PA
2	208100000X	Physical Medicine & Rehabilitation Physician	25MA06914500	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	250013591	OTHER	PA	RAILROAD MEDICARE
8	250013827	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0343567000	OTHER	NJ	AMERIHEALTH HMO
2	1155963	OTHER	NJ	HORIZON NJ HEALTH
3	568292	OTHER		PA BLUE SHIELD NJ PATIENT
4	30021071	OTHER		KEYSTONE MERCY
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	FR1648250	OTHER		HIGHMARK BCBS
9	568292	OTHER	NJ	AMERIHEALTH PERSONAL CHOI
10	NY212261	OTHER		EMPIRE BCBS
11	2672520	OTHER	NJ	AETNA HMO
12	5365751	OTHER	NJ	AETNA PPO

General Provider Information

NPI Number	:	1841249497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERROLD A FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1272
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-7272
Country	:	US
Telephone Number	:	856-383-4009
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 CHESTNUT ST STE 204
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3051
Country	:	US
Telephone Number	:	215-627-3782
Fax Number	:	215-627-3695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	12/03/2025

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