Individual provider Active NPI

John Scott Freiheiter, MD

  • Internal Medicine Physician
  • Randolph, NJ
National Provider Identifier
1073688438
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA056783 Issued in NJ
Practice address
16 Old Brookside Rd
Suite #2
Randolph, NJ 07869
Phone
(973) 895-8884
Fax
(973) 895-2530
NPI assigned
Nov 21, 2006
Last updated
Sep 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA056783 NJ Primary
Pediatrics Physician 208000000X MA056783 NJ

Addresses

Primary practice location

16 Old Brookside Rd
Suite #2
Randolph, NJ 07869

Mailing address

16 Old Brookside Rd
Suite #2
Randolph, NJ 07869
Phone (973) 895-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001235 NJ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8426083692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

16 Old Brookside Rd
Suite 2
Randolph, NJ 07869-3616
Phone (973) 895-8884

706 Bergen Ave
Suite 2
Jersey City, NJ 07306-4802
Phone (201) 464-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA056783NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC Internal Medicine CurrentSince Nov 30, 2021 Accepting new patients
Skylands Medical Group, P.a. Internal Medicine Past Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

16 Old Brookside Rd
Ste 2
Randolph, NJ 07869
Phone (973) 895-8884

Interoperability endpoints

  • Direct secure messaging: john.freiheiter.1@18614.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1073688438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OLD BROOKSIDE RD",
            "address_2": "SUITE #2",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-895-8884",
            "fax_number": "973-895-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OLD BROOKSIDE RD",
            "address_2": "SUITE #2",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-895-8884",
            "fax_number": "973-895-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIHEITER",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA056783",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA056783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.