JERROLD FRIEDMAN, M.D. LLC – Physical Medicine & Rehabilitation Physician, NPI 1417907676
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JERROLD FRIEDMAN, M.D. LLC
123 CHESTNUT ST STE 204
PHILADELPHIA, PA 191063051
Phone: (215) 627-3782
Fax: (215) 627-3695
Type: Location
Mount Laurel Post Office, Walt Whitman Avenue, Mount Laurel Township, Burlington County, New Jersey, 08054, United States
MOUNT LAUREL, NJ 080547272
Phone: (856) 383-4009
Type: Mailing
Genesis Healthcare, 3001, East Evesham Road, Voorhees Township, Camden County, New Jersey, 08043, United States
VOORHEES, NJ 080439547
Phone: (856) 751-1600
Fax: (856) 751-1548
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (923 days ago).
Enrollment records
2
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100909000213 | O | Clinic/Group Practice | PA | 2023-11-30 |
| O20100909000376 | O | Clinic/Group Practice | NJ | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19106)
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