NPIMap

Organization Active NPI

Ted L. Freeman,DO, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brick, NJ
National Provider Identifier
1356400014
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MB06110000 Issued in NJ
Legal business name
TED L. FREEMAN,DO, PC
Practice address
186 Jack Martin Blvd
Suite B1
Brick, NJ 08724-7728
Phone
(732) 785-1600
Fax
(732) 785-1642
NPI assigned
Dec 8, 2006
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Ted L Freeman, D.O.NPI 1881762029
Title
Owner
Phone
(732) 785-1600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MB06110000 NJ Primary
Interventional Pain Medicine Physician 208VP0014X 25MB06110000 NJ

Addresses

Primary practice location

186 Jack Martin Blvd
Suite B1
Brick, NJ 08724-7728

Mailing address

186 Jack Martin Blvd
Suite B1
Brick, NJ 08724-7728
Phone (732) 785-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041123001019 NJ Part B Supplier - Clinic/Group Practice 6002871571 Receives reassigned benefits from 14 practitioners
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Locations

18 Butler Blvd
Bayville, NJ 08721
Phone (732) 237-2220

1617 Route 88
Ste 1
Brick, NJ 08724
Phone (732) 785-1600

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1356400014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 JACK MARTIN BLVD",
            "address_2": "SUITE B1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247728",
            "telephone_number": "732-785-1600",
            "fax_number": "732-785-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 JACK MARTIN BLVD",
            "address_2": "SUITE B1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247728",
            "telephone_number": "732-785-1600",
            "fax_number": "732-785-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED L. FREEMAN,DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-785-1600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB06110000",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB06110000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.