NPIMap

Organization Active NPI

Freed, Scherz, Kleinberg, Nussbaum,Festa, M.D. LLP

  • Pediatric Adolescent Medicine Physician
  • Port Jefferson, NY
National Provider Identifier
1467559922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
FREED, SCHERZ, KLEINBERG, NUSSBAUM,FESTA, M.D. LLP
Practice address
635 Belle Terre Road
Port Jefferson, NY 11777
Phone
(631) 331-6200
Fax
(631) 331-6282
NPI assigned
Sep 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jay Freed, M.D.
Title
Doctor
Phone
(631) 331-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

635 Belle Terre Road
Port Jefferson, NY 11777

Mailing address

635 Belle Terre Road
Port Jefferson, NY 11777
Phone (631) 331-6200

National Provider Directory

National Provider Directory
Tax ID family
Freed Scherz Kleinberg Nussbaum Festa MD LLP5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467559922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE ROAD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-331-6200",
            "fax_number": "631-331-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE ROAD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-331-6200",
            "fax_number": "631-331-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREED, SCHERZ, KLEINBERG, NUSSBAUM,FESTA, M.D. LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-331-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.