Freedom Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FREEDOM DIALYSIS LLC

Practice address

940 E Haverford Rd Ste 102
Bryn Mawr, PA 19010-3845

Phone

(610) 520-7277

NPI assigned

Sep 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeremy Graves

Title

Chief Operating Officer

Phone

(772) 349-3882

Specialties & licenses 1

Addresses

Other names 1

• Compass Home Dialysis Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1073061206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E HAVERFORD RD STE 102",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103845",
            "telephone_number": "772-349-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E HAVERFORD RD STE 102",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103845",
            "telephone_number": "610-520-7277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Challenger Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Ridgefield Park",
            "state": "NJ",
            "postal_code": "076602108",
            "country_code": "US",
            "telephone_number": "718-744-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "772-349-3882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frazier Rose Angstadt
• Thomas Gibson Frazier, M.D.
• Lynn Marie Freda, CRNP
• John R Freeberg, MD
• Kevin Blake Freedman, M.D.
• Anna Jean Freitag, CRNA
• Jean Fridy
• Jesse Friedlander
• Jonathan Samuel Friedman, DMD
• Wendy E Fuhr, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.