Freehold Radiology Group, P.a.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0069444 Issued in NJ

Legal business name

FREEHOLD RADIOLOGY GROUP, P.A.

Practice address

176 Route 9
Englishtown, NJ 07726-9218

Phone

(732) 577-2750

Fax

(732) 780-6213

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Barry Friedenberg, MD

Title

President

Phone

(732) 462-3302

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1356565972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "SUITE C",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-462-3302",
            "fax_number": "732-780-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ROUTE 9",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077269218",
            "telephone_number": "732-577-2750",
            "fax_number": "732-780-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEHOLD RADIOLOGY GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "FRIEDENBERG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-462-3302",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "0069444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer Eddins, COTA/L
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• Juliya Fulman
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• Diagnostic Radiology Physician in Englishtown, NJ
• Providers in Englishtown, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.