Organization Active NPI

Freedom Physical Medicine and Rehabilitation, P.C.

  • Specialist
  • Englewood Cliffs, NJ
National Provider Identifier
1023456647
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA08436000 Issued in NJ
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

Updated by the provider on Jun 5, 2013

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.