Active NPI
Robert S Freda
- Chiropractor
- Rutherford, NJ
National Provider Identifier
1477672327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC3131
- Practice address
- 287 Park Avenue
Rutherford, NJ 07070 - Phone
- (201) 935-5760
- Fax
- (201) 935-4118
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC3131 | NJ | Primary |
Addresses
Primary practice location
287 Park Avenue
Rutherford, NJ 07070
Mailing address
287 Park Avenue
Rutherford, NJ 07070
Phone (201) 935-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC3131 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477672327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 PARK AVENUE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "07070",
"telephone_number": "201-935-5760",
"fax_number": "201-935-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 PARK AVENUE",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "07070",
"telephone_number": "201-935-5760",
"fax_number": "201-935-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDA",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC3131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.