Freddie USA of New Jersey PC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

FREDDIE USA OF NEW JERSEY PC

Practice address

13331 Nacogdoches Rd
San Antonio, TX 78217

Phone

(423) 275-5200

NPI assigned

Apr 15, 2025

Organization subpart

No

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

Authorized official

Name

Alex Mohseni

Title

President

Phone

(301) 706-4461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1932995230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 TALMADGE RD",
            "address_2": "UNIT #312",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "423-275-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDDIE USA OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MOHSENI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-706-4461"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahogani Areli Frazier
• Virginia Frazier, HSCW
• Gary Leon Frech, PHARMACIST
• Michael Freckleton, MD
• Iliana Fred-Miranda, MD
• Freddy Angulo, M.D., P.a.
• Bianca Maureen Frederick, DDS
• Melanie C. Frederick, MD
• Fredericksburg Family Dental Care, PLLC
• Fredericksburg Square Dental, PLLC

• Community Health Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.