KENNETH FRIED MD PA
NPI 1811273485
Surgery - Vascular Surgery in Englewood, NJ
About Kenneth Fried Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH FRIED MD PA (NPI 1811273485) is a healthcare organization registered as a vascular surgery in Englewood, New Jersey and active in the NPI registry since October 2011. The organization lists Kenneth Fried, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Fried Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenneth Fried MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Fried MD PA's NPI number?
The NPI number for Kenneth Fried MD PA is 1811273485. It was assigned to this organization in the NPPES registry on October 27, 2011.
Where is Kenneth Fried MD PA located?
Kenneth Fried MD PA is located at 180 N Dean St Suite 2, Englewood, NJ 07631. The listed phone number is (201) 568-8666.
What is Kenneth Fried MD PA's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Kenneth Fried MD PA enrolled in Medicare?
Yes. Kenneth Fried MD PA is registered in the Medicare PECOS enrollment system.
When is Kenneth Fried MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kenneth Fried MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Kenneth Fried MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Fried MD PA was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth Fried Md Pa · NPI 1811273485
Vascular Surgery organization in Englewood, New Jersey. Organization record, active in the CMS NPPES registry since October 27, 2011.
## Identity
- **NPI:** 1811273485 (Entity type: Organization)
- **Enumerated:** October 27, 2011
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Kenneth Fried, OWNER
## Practice location
- **Address:** 180 N DEAN ST, SUITE 2, Englewood, NJ 07631-2539
- **Phone:** (201) 568-8666 · **Fax:** (201) 568-2941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2012
- **Other identifiers:** Medicare PIN 456343 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1811273485) · Data from the CMS NPPES public registry.