Individual provider Active NPI

Terry Freedman, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Mount Laurel, NJ
National Provider Identifier
1447465307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
26NN04242600 Issued in NJ
Practice address
150 Century Pkwy
Suite a
Mount Laurel, NJ 08054-1129
Phone
(856) 778-1181
Fax
(856) 778-1572
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 26NN04242600 NJ Primary

Addresses

Primary practice location

150 Century Pkwy
Suite a
Mount Laurel, NJ 08054-1129

Mailing address

PO Box 536
Voorhees, NJ 08043-0536
Phone (856) 669-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709003313 NJ Practitioner - Nurse Practitioner 1254554223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

150 Century Pkwy
Suite a
Mount Laurel, NJ 08054-1129
Phone (856) 778-4700

188 Fries Mill Rd
N1
Turnersville, NJ 08012-2055
Phone (856) 875-0505

2401 E Evesham Rd
Voorhees, NJ 08043-9590

2401 Evesham Rd a
Garden State OB GYN
Voorhees, NJ 08043-9590
Phone (856) 424-3323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Apr 23, 2018 Accepting new patients
Regional Women'S Health Group, LLC CurrentSince Apr 23, 2018 Accepting new patients

Locations

777 S White Horse Pike
Ste A1
Hammonton, NJ 08037
Phone (609) 561-6660

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

150 Century Pkwy
Ste A
Mount Laurel, NJ 08054
Phone (856) 778-4700

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

188 Fries Mill Rd
Ste B1
Turnersville, NJ 08012
Phone (856) 629-1400

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

Interoperability endpoints

  • Direct secure messaging: terry.freedman@axia.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447465307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430536",
            "telephone_number": "856-669-6050",
            "fax_number": "856-651-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CENTURY PKWY",
            "address_2": "SUITE A",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541129",
            "telephone_number": "856-778-1181",
            "fax_number": "856-778-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "TERRY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NN04242600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.