Active NPI
Joshua Colter Freund, PA
- Medical Physician Assistant
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001120
- Practice address
- 28 Crescent St
Middletown, CT 06457-3654 - Phone
- (860) 344-6394
- Fax
- (860) 344-6748
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001120 | CT | Primary |
Addresses
Primary practice location
28 Crescent St
Middletown, CT 06457-3654
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 344-6394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070827000812 | CT | Practitioner - Physician Assistant | 0143312785 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16 Atlantic Ave
FL 2
Lynbrook, NY 11563-3046
28 Crescent St
Middletown, CT 06457-3654
5 Pequote Park Rd
Suite 301
Westbrook, CT 06498-2856
PO Box
Suite 1339
Glastonbury, CT 06033
PO Box
Suite 1339
Glastonbury, CT 06033-6339
Hospital & facility affiliations
- Yale-New Haven Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001120 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Zadie Kenkare Internal Medicine PLLC | Current | Accepting new patients | |
| Middlesex Hospital | Medical | Past | Accepting new patients |
| WRK Ventures, LLC | Past | Accepting new patients |
Locations
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
5 Pequot Park Rd
Ste 301
Westbrook, CT 06498
Phone (860) 399-6167
Interoperability endpoints
- jfreund173943@direct.ynhh.org
Organizations & group practices 9
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, CT
- NPI 1740219625
-
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
-
- Psychiatry Physician
- Middletown, CT
- NPI 1760451041
-
- Family Medicine Physician
- Middletown, CT
- NPI 1851350664
-
- Primary Care Clinic/Center
- Madison, CT
- NPI 1477206878
-
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1992770960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-344-6394",
"fax_number": "860-344-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-344-6394",
"fax_number": "860-344-6748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREUND",
"first_name": "JOSHUA",
"middle_name": "COLTER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "001120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.