Active NPI
Robert M. Freda, M.D.
- Internal Medicine Physician
- Chatham, NJ
National Provider Identifier
1104071208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MAO2053800
- Practice address
- 96 Meyersville Road
Chatham, NJ 07928 - Phone
- (973) 635-2289
- Fax
- (973) 635-0834
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MAO2053800 | NJ | Primary |
Addresses
Primary practice location
96 Meyersville Road
Chatham, NJ 07928
Mailing address
96 Meyersville Road
Chatham, NJ 07928
Phone (973) 635-2289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO2053800 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1104071208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 MEYERSVILLE ROAD",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "07928",
"telephone_number": "973-635-2289",
"fax_number": "973-635-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 MEYERSVILLE ROAD",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "07928",
"telephone_number": "973-635-2289",
"fax_number": "973-635-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDA",
"first_name": "ROBERT",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MAO2053800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.