Active NPI
Jennifer Freedman, MD
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MT191829
- Practice address
- 3400 Spruce St
1 Maloney
Philadelphia, PA 19104-4206 - Phone
- (215) 662-3957
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT191829 | PA | Primary |
Addresses
Primary practice location
3400 Spruce St
1 Maloney
Philadelphia, PA 19104-4206
Mailing address
3400 Spruce St
1 Maloney
Philadelphia, PA 19104-4206
Phone (215) 662-3957
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216000042 | NJ | Practitioner - Emergency Medicine | 1052591526 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7000
Hospital & facility affiliations
- University Medical Center of Princeton at Plainsboro
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT191829 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New Jersey,Professional Association | Emergency Medicine | Current | Accepting new patients |
| Saint Peter'S Healthcare System Physician Associates | Past | Accepting new patients | |
| Princeton Emergency Physicians, PA | Emergency Medicine | Past | Accepting new patients |
| Southern Bank Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
1 Plainsboro Rd
#C
Plainsboro, NJ 08536
Phone (866) 460-4776
1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
Emergency Medicine, NJ
-
- Emergency Medicine Physician
- Plainsboro, NJ
- NPI 1386779700
Emergency Medicine
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
-
- Emergency Medicine Physician
- New Brunswick, NJ
- NPI 1629205844
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1457545576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "1 MALONEY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "1 MALONEY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MT191829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.