Active NPI
Howard Gary Freedman, DC
- Chiropractor
- Pennsauken, NJ
National Provider Identifier
1538103262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00286500
- Practice address
- 6650 Browning Road
U12
Pennsauken, NJ 08109-1479 - Phone
- (856) 663-4414
- Fax
- (856) 486-9064
- NPI assigned
- Jun 15, 2006
- Last updated
- Feb 26, 2015
- 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 | 38MC00286500 | NJ | Primary |
Addresses
Primary practice location
6650 Browning Road
U12
Pennsauken, NJ 08109-1479
Mailing address
5045 Route 38
Pennsauken, NJ 08109-4801
Phone (856) 663-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091023000192 | NJ | Practitioner - Chiropractic | 7810034899 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1538103262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 ROUTE 38",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081094801",
"telephone_number": "856-663-4414",
"fax_number": "856-486-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 BROWNING ROAD",
"address_2": "U12",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081091479",
"telephone_number": "856-663-4414",
"fax_number": "856-486-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "HOWARD",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00286500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pennsauken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.