Individual provider Active NPI

Richard Evan Freundlich, M.D.

  • Nephrology Physician
  • Millburn, NJ
National Provider Identifier
1265443238
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA0465440 Issued in NJ
Practice address
225 Millburn Ave
Suite 209
Millburn, NJ 07041-1737
Phone
(973) 218-9330
Fax
(973) 218-9351
NPI assigned
Aug 11, 2006
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 MA0465440 NJ
Nephrology Physician 207RN0300X MA0465440 NJ Primary

Addresses

Primary practice location

225 Millburn Ave
Suite 209
Millburn, NJ 07041-1737

Mailing address

225 Millburn Ave
Suite 209
Millburn, NJ 07041-1737
Phone (973) 218-9330

Other identifiers 1

IdentifierTypeStateIssuer
3408108-01MedicaidNJ

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
I20040504000566 NJ Practitioner - NephrologyPractitioner - Internal Medicine 4587652102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex Renal and Medical Group,LLCGroup PAC ID 5294708095, 5 clinicians

Practice addresses (Care Compare)

225 Millburn Ave
Suite 209
Millburn, NJ 07041-1712
Phone (973) 218-9330

511 S Orange Ave
South Orange, NJ 07079-2636
Phone (973) 762-4720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA0465440NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Renal & Medical Group,LLC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Associates in Internal Medicine & Nephrology, P.C. Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients

Locations

225 Millburn Ave
Ste 104B
Millburn, NJ 07041
Phone (973) 379-5888

225 Millburn Ave
Ste 209
Millburn, NJ 07041
Phone (973) 218-9330

511 S Orange Ave
South Orange, NJ 07079
Phone (973) 200-3600

Organizations & group practices 2

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 3

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1265443238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 209",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-9330",
            "fax_number": "973-218-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 209",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-9330",
            "fax_number": "973-218-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUNDLICH",
        "first_name": "RICHARD",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA0465440",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA0465440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408108-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.