Active NPI
Beatrice Onyeader Freedom Medical Clinic
- Specialist
- Clifton, NJ
National Provider Identifier
1215979828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA73452
- Legal business name
- BEATRICE ONYEADER FREEDOM MEDICAL CLINIC
- Practice address
- 304 Lakeview Ave
Clifton, NJ 07011-4069 - Phone
- (973) 478-8600
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Beatrice Onyeador, DR
- Title
- Owner
- Phone
- (973) 340-1222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA73452 | NJ | Primary |
Addresses
Primary practice location
304 Lakeview Ave
Clifton, NJ 07011-4069
Mailing address
304 Lakeview Ave
Clifton, NJ 07011-4069
Phone (973) 478-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8897808 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Clifton, NJ
- NPI 1114969870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1215979828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 LAKEVIEW AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070114069",
"telephone_number": "973-478-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 LAKEVIEW AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070114069",
"telephone_number": "973-478-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEATRICE ONYEADER FREEDOM MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "ONYEADOR",
"authorized_official_first_name": "BEATRICE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-340-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DR"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MA73452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8897808",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.