Robert S. Freid M.D. P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ROBERT S. FREID M.D. P.A.

Practice address

205 Ridgedale Ave
Florham Park, NJ 07932-1349

Phone

(973) 377-0164

Fax

(973) 377-0063

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Saul Freid, M.D.

Title

President

Phone

(973) 377-0164

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1295989259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-377-0164",
            "fax_number": "973-377-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-377-0164",
            "fax_number": "973-377-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. FREID M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "FREID",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-377-0164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1957201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rivano Chiropractic Health Center LLC
• Anthony M Rivano, D.C.
• Devon Rizzo, LPC, LCADC
• Robert a. del Vento, M.D., P.a.
• Robert Desimone Functional Medicine, Inc
• Anisha Rodrigues, M.D.
• Simon Rodriguezlopez, ATC
• Roger Diruggiero
• Carla Rogers
• Gary Romaka, D.O.

• Clinic/Center in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.