Organization Active NPI

Jacob J. Freiman, M.D., P.a.

  • Plastic Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1629307400
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME102509 Issued in FL
Legal business name
JACOB J. FREIMAN, M.D., P.A.
Practice address
1213 E Las Olas Blvd
Fort Lauderdale, FL 33301-2331
Phone
(516) 987-5394
NPI assigned
Dec 8, 2009
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Jacob Joshua FreimanNPI 1013141712
Title
Owner
Phone
(516) 987-5394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME102509 FL Primary

Addresses

Primary practice location

1213 E Las Olas Blvd
Fort Lauderdale, FL 33301-2331

Mailing address

1213 E Las Olas Blvd
Fort Lauderdale, FL 33301-2331
Phone (516) 987-5394

National Provider Directory

National Provider Directory

Locations

1213 E Las Olas Blvd
Fort Lauderdale, FL 33301
Phone (954) 982-2841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1629307400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 E LAS OLAS BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012331",
            "telephone_number": "516-987-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 E LAS OLAS BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012331",
            "telephone_number": "516-987-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB J. FREIMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "FREIMAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-987-5394"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME102509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.