Active NPI
Jonathan D. Freet, PA-C
- Surgical Physician Assistant
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00165500
- Practice address
- 1135 Broad St
3Rd FL Suite 3
Clifton, NJ 07013-3346 - Phone
- (973) 614-0990
- Fax
- (973) 614-8288
- NPI assigned
- Feb 14, 2007
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00165500 | NJ | Primary |
Addresses
Primary practice location
1135 Broad St
3Rd FL Suite 3
Clifton, NJ 07013-3346
Mailing address
20 Albertine PL
Oak Ridge, NJ 07438-8829
Phone (201) 835-7302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
140 Central Ave
Clark, NJ 07066-1121
Phone (732) 499-0606
333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220
47 N Plank Rd
Suite 19
Newburgh, NY 12550-2114
Phone (845) 561-2038
75 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
95 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.92 of 100
- Quality
- 68.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019171 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Current | Accepting new patients | |
| Chilton Emergency Physicians LLC | Past | Accepting new patients | |
| Atlantic Professional Services of New Jersey, P.a. | Past | Accepting new patients | |
| William R. Collini, M.D., P.a. | Past | Accepting new patients | |
| House Physicians of Chilton, LLC | Past | Accepting new patients |
Locations
112 Tops Market Blvd
Ellenville, NY 12428
Phone (845) 647-6700
111 Maltese Dr
Middletown, NY 10940
460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jonathan.freet@mmpc.eclinicaldirectplus.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1104309277
-
- General Practice Physician
- Newton, NJ
- NPI 1023358959
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Surgery Physician
- Newburgh, NY
- NPI 1720663768
-
- Physician Assistant
- Stratford, NJ
- NPI 1932145182
-
- Emergency Medicine Physician
- Pompton Plaine, NJ
- NPI 1346207479
-
- Hospitalist Physician
- Pompton Plains, NJ
- NPI 1689826109
-
- Specialist
- Newton, NJ
- NPI 1144426602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780727529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ALBERTINE PL",
"city": "OAK RIDGE",
"state": "NJ",
"postal_code": "074388829",
"telephone_number": "201-835-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 BROAD ST",
"address_2": "3RD FL SUITE 3",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133346",
"telephone_number": "973-614-0990",
"fax_number": "973-614-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREET",
"first_name": "JONATHAN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00165500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.