Individual provider Active NPI

Glenn Freas

  • Emergency Medicine Physician
  • Cape May, NJ
National Provider Identifier
1730111451
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA06853800 Issued in NJ
Practice address
900 Route 109
Cape May, NJ 08204-5259
Phone
(609) 884-4357
Fax
(609) 884-4377
NPI assigned
Jul 6, 2006
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA06853800 NJ Primary

Addresses

Primary practice location

900 Route 109
Cape May, NJ 08204-5259

Mailing address

900 Route 109
Cape May, NJ 08204-5259
Phone (609) 884-4357

Other identifiers 1

IdentifierTypeStateIssuer
7806604MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001007 NJ Practitioner - Emergency Medicine 3274509120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Regional Urgent Care LLCGroup PAC ID 5395861728, 36 clinicians

Practice addresses (Care Compare)

406 W Rio Grande Ave
Wildwood, NJ 08260-1524
Phone (609) 465-6364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Aug 2, 2017 Accepting new patients
Atlanticare Urgent Care Physicians LLC CurrentSince Aug 1, 2012 Accepting new patients
Atlanticare Physician Group PA CurrentSince Aug 2, 2017 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Oct 1, 2017 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Oct 1, 2017 Accepting new patients
South Jersey Emergency Physicians, PA Emergency Medicine Past Accepting new patients

Locations

900 Route 109
Cape May, NJ 08204
Phone (609) 884-4357

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

406 W Rio Grande Ave
Wildwood, NJ 08260
Phone (609) 465-6364

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1730111451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 109",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "082045259",
            "telephone_number": "609-884-4357",
            "fax_number": "609-884-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 109",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "082045259",
            "telephone_number": "609-884-4357",
            "fax_number": "609-884-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREAS",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06853800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May, NJ

Sources for this page

Verify at the official NPI Registry.