Freedom Center of Staten Island, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FREEDOM CENTER OF STATEN ISLAND, LLC

Practice address

470 Seaview Ave
Staten Island, NY 10305-3401

Phone

(781) 699-9000

NPI assigned

Mar 18, 2022

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry Blanton

Title

Senior Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Tax ID family

Freedom Center of Staten Island LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Freedom Center of Staten Island, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Staten Island, NY
  • NPI 1770232704
  NPD tax ID

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1598414526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053401",
            "telephone_number": "781-699-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053401",
            "telephone_number": "781-699-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CENTER OF STATEN ISLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frazier Medical Associates, LLC
• Vincent J Frazzetto, D.D.S.
• Frederick L Sabido M.D., P.C.
• Carly Rae Fredette
• Ann Marie Freed, LPN
• Freedom Center of Staten Island, LLC
• Olubimpe Ruth Freeman, RN
• Rubini S Freeman, MS, CCC-SLP
• Erin Lindsey Freese, RN
• Sarina Brooke Freese

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.