Freedom Center of Huntington, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FREEDOM CENTER OF HUNTINGTON, LLC

Practice address

33 Walt Whitman Rd
Huntington Station, NY 11746-3640

Phone

(631) 547-4120

Fax

(631) 547-4173

NPI assigned

Oct 25, 2016

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark R Fawcett

Title

Senior VP and Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Huntington Station Dialysis Center Doing business as

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1821540980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463640",
            "telephone_number": "631-547-4120",
            "fax_number": "631-547-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463640",
            "telephone_number": "631-547-4120",
            "fax_number": "631-547-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CENTER OF HUNTINGTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SENIOR VP AND TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Station Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Finkel
• Helena Flores Zumaran
• Brenda Marie Forbes
• Mindy Fortgang, MSED
• Ma. Theresa Andaleon Francia-Ilao, PT
• Freedom Stairlifts LLC
• Elisa Kay Freire-Davis, OTR
• Nicole Staci Fridas, TSHH, MSED, PD - SAS
• Marsha Stacy Fried, O.D.
• Neil Fruchtman

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.