Active NPI
Freehold Mr Associates, P.a.
- Diagnostic Radiology Physician
- Englishtown, NJ
National Provider Identifier
1437342011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0076918
- Legal business name
- FREEHOLD MR ASSOCIATES, P.A.
- Practice address
- 176 Route 9
Englishtown, NJ 07726-9218 - Phone
- (732) 577-2750
- NPI assigned
- Aug 27, 2007
- Organization subpart
- No
NPPES NPI Registry
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) 294-2946
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0076918 | NJ | Primary |
Addresses
Primary practice location
176 Route 9
Englishtown, NJ 07726-9218
Mailing address
1001 W Main St
Freehold, NJ 07728-2579
Phone (732) 462-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6926509 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
176 Route 9
Englishtown, NJ 07726
Phone (732) 577-2750
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Diagnostic Radiology Physician
- Freehold, NJ
- NPI 1265450142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1437342011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W MAIN ST",
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEHOLD MR ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"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": "732-294-2946",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "0076918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6926509",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englishtown, NJ
Sources for this page
- 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.