Active NPI
John Michael Freiler, DDS
- General Practice Dentistry
- Wanaque, NJ
National Provider Identifier
1295815710
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22D100878300
- Practice address
- 2307 Warrens Way
Wanaque, NJ 07465 - Phone
- (973) 998-7919
- Fax
- (973) 998-7920
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22D100878300 | NJ | Primary |
Addresses
Primary practice location
2307 Warrens Way
Wanaque, NJ 07465
Mailing address
2307 Warrens Way
Wanaque, NJ 07465
Phone (973) 998-7919
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D100878300 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1295815710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 WARRENS WAY",
"city": "WANAQUE",
"state": "NJ",
"postal_code": "07465",
"telephone_number": "973-998-7919",
"fax_number": "973-998-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 WARRENS WAY",
"city": "WANAQUE",
"state": "NJ",
"postal_code": "07465",
"telephone_number": "973-998-7919",
"fax_number": "973-998-7920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREILER",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22D100878300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wanaque, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.