Robert Saul Freid, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04544000 Issued in NJ

Practice address

205 Ridgedale Avenue
Florham Park, NJ 07932-1349

Phone

(973) 377-0164

Fax

(973) 377-0063

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1659474104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVENUE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-377-0164",
            "fax_number": "973-377-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVENUE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "973-377-0164",
            "fax_number": "973-377-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREID",
        "first_name": "ROBERT",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04544000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1957201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne C Fox, LCSW-C
• Bryan Franciosi, PT, DPT, ATC
• Joel Grancell Frank, DO
• Renee Ellen Frankel, MD
• Isabella Freda, LAC
• Fresenius Medical Care Comprehensive CKD SE
• Molly Fried, LCSW
• Jessica Marie Friedhoff, LSW
• Jerrold Fruchtman, O.D.
• Kennedy Ogbazion Gabre, M.D.

• Internal Medicine Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.