Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mordechai Fried

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992320378

Mordechai Fried is an Orthodontics and Dentofacial Orthopedics in West Long Branch, New Jersey. Graduated from Univ of Pennsylvania School of Dental Medicine in 2020, 6 years ago. Works from 2 locations. Licensed in New Jersey.

Years since qualifying
6
Trained at
Univ of Pennsylvania School of Dental Medicine
Licensed in
NJ
In the registry since
2020
Specialties on file
2

Practice location Address checks out

67 State Route 36
West Long Branch, NJ 07764-1432
Phone: (848) 228-2583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 — (215) 456-6620

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 22DI02952800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992320378
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHODONTICS AND DENTOFACIAL ORTHOPEDICS
Medical schoolUNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated