Organization Active NPI

Freedom Medical Clinics

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1437614393
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FREEDOM MEDICAL CLINICS
Practice address
304 Lakeview Ave
Clifton, NJ 07011-4069
Phone
(973) 478-8600
Fax
(973) 478-8601
NPI assigned
Feb 5, 2019
Last updated
Feb 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Beatrice Onyeador, MDNPI 1114969870
Title
Owner
Phone
(973) 478-8600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

304 Lakeview Ave
Clifton, NJ 07011-4069

Mailing address

304 Lakeview Ave
Clifton, NJ 07011-4069
Phone (973) 478-8600

Other identifiers 1

IdentifierTypeStateIssuer
25MA07345200OtherNJNJ LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190424000620 NJ Part B Supplier - Clinic/Group Practice 3779825740 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

304 Lakeview Ave
Ste A
Clifton, NJ 07011
Phone (973) 478-8600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1437614393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114069",
            "telephone_number": "973-478-8600",
            "fax_number": "973-478-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114069",
            "telephone_number": "973-478-8600",
            "fax_number": "973-478-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "ONYEADOR",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-478-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA07345200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.