Active NPI
Freedom Physical Medicine and Rehabilitation, P.C.
- Specialist
- Englewood Cliffs, NJ
National Provider Identifier
1023456647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA08436000
- Legal business name
- FREEDOM PHYSICAL MEDICINE AND REHABILITATION, P.C.
- Practice address
- 333 Sylvan Ave
Suite 301
Englewood Cliffs, NJ 07632-2724 - Phone
- (201) 227-8275
- Fax
- (201) 227-6113
- NPI assigned
- Jun 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Chang, M.D.
- Title
- President
- Phone
- (516) 384-4913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA08436000 | NJ | Primary |
Addresses
Primary practice location
333 Sylvan Ave
Suite 301
Englewood Cliffs, NJ 07632-2724
Mailing address
7 Broad Ave
Suite 309
Palisades Park, NJ 07650-1886
Phone (201) 313-1125
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1023456647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BROAD AVE",
"address_2": "SUITE 309",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076501886",
"telephone_number": "201-313-1125",
"fax_number": "201-313-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SYLVAN AVE",
"address_2": "SUITE 301",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322724",
"telephone_number": "201-227-8275",
"fax_number": "201-227-6113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM PHYSICAL MEDICINE AND REHABILITATION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-05",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-384-4913",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "25MA08436000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.