Individual provider Active NPI

Jonathan D. Freet, PA-C

  • Surgical Physician Assistant
  • Clifton, NJ
National Provider Identifier
1780727529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00165500 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071129000312 NJ Practitioner - Physician Assistant 4082703053 Reassigns benefits to 3 organizations
I20200402002448 NY Practitioner - Physician Assistant 4082703053 Reassigns benefits to 3 organizations

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
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians
Atlantic Advanced Urgent CareGroup PAC ID 4385986330, 44 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
019171NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Nov 15, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.