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

Mrs. Jodi Friedberg, RN

Individual provider Nurse Practitioner · NPI 1023429578

Mrs. Jodi Friedberg, RN is a Nurse Practitioner in Port Jefferson Station, New York. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2014
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

509 Route 112
Port Jefferson Station, NY 11776-1006
Phone: (631) 690-2510
Fax: (631) 693-1358
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2023002264 (NY)

Record details

NPI number1023429578
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMay 17, 2014
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Port Jefferson Station