Eboni Brown Freeman, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP010648 Issued in NJ

Practice address

600 Getty Ave Ste 101
Clifton, NJ 07011-2161

Phone

(201) 665-3066

Fax

(973) 200-8137

NPI assigned

Mar 31, 2010

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Kansas School of Med (KC/Wich/Sal), 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eboni.freeman.p1@direct.cfg.nextgenshare.com

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.

• NJ Memory and Behavioral Care

  • Geriatric Psychiatry Physician
  • Cedar Knolls, NJ
  • NPI 1538499181
  Medicare reassignment Care Compare group NPD
• Compass Health Systems of New Jersey, LLC

  • Psychiatry Physician
  • Union, NJ
  • NPI 1760200406

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Hope and Healing Counseling NJ

  • Mental Health Counselor
  • Paramus, NJ
  • NPI 1174212898

  Psychiatric/Mental Health

  NPD
• Hope and Healing Counseling Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clifton, NJ
  • NPI 1003408535
  NPD (past)
• Hope and Healing Counseling Services LLC

  • Mental Health Counselor
  • Clifton, NJ
  • NPI 1245189901
  NPD (past)
• Scott a. Fleischer, M.D., P.C.

  • Psychiatry Physician
  • Fort Washington, PA
  • NPI 1720181720
  NPD (past)

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1083939235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GETTY AVE STE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112161",
            "telephone_number": "201-665-3066",
            "fax_number": "973-200-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GETTY AVE STE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112161",
            "telephone_number": "201-665-3066",
            "fax_number": "973-200-8137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Pennsylvania Ave",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190343403",
            "country_code": "US",
            "telephone_number": "215-793-4546",
            "fax_number": "215-793-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN FREEMAN",
        "first_name": "EBONI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "SP010648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Broadfoot
• Eva Broadfoot
• Broadway Applied Behavior Analysis PLLC
• Broadway Medical Group PC
• Tara Sofia Brock, MA, LPC
• Dane Brown
• Elliot Mitchell Brown, MD
• Louis S Brown, M.D
• Shanice A Brown
• Tova M Brown

• Psychiatric/Mental Health Nurse Practitioner in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.