DR. MICHAEL WILLIAM FREDA (NPI# 1629200506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629200506 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILLIAM FREDA |
| Credential | DMD |
| Practice Address |
557 Broad St Bloomfield NJ 07003-2885 |
| Practice Telephone | 9737482248 |
| Practice Fax Number | 9737487004 |
| Mailing Telephone | 9737482248 |
| Mailing Fax Number | 9737487004 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22D101357202 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730242785 | Michael Rudolph Freda | Marriage & Family Therapist | 3650 Warren Way, Reno, NV 89509-5240 | 2006-12-19 |
| Street Address |
557 BROAD ST |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952661381 | Alli Surgical Associates,llc | Surgery | 557 Broad St, Suite # 22, Bloomfield, NJ 07003-2885 | 2012-05-18 |
| 1972807816 | Anthony T. Suriano | Dentist | 557 Broad St, Bloomfield, NJ 07003-2885 | 2011-01-07 |
| 1093912651 | Nadine Marie Aktan | Nurse Practitioner | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-06-28 |
| 1861609786 | Freda & Suriano Orthodontics | Dentist | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-05-17 |
| 1619191038 | Elizabeth Janette Vandyk | Nurse Practitioner | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-04-13 |
| 1114062957 | Michele Weisberger | Dietitian, Registered | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-02-20 |
| 1316000540 | Parul S. Amin | Internal Medicine | 557 Broad St, Rm 22, Bloomfield, NJ 07003-2885 | 2006-12-19 |
| 1891869483 | Padmavathy Alli | Surgery | 557 Broad St, Suite 22, Bloomfield, NJ 07003-2885 | 2006-11-17 |
| 1023114899 | Immedicenter Bloomfield | Family Medicine | 557 Broad St, Bloomfield, NJ 07003-2885 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720092422 | Ronald Loius Bucari | Dentist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2006-07-28 |
| 1972807816 | Anthony T. Suriano | Dentist | 557 Broad St, Bloomfield, NJ 07003-2885 | 2011-01-07 |
| 1861609786 | Freda & Suriano Orthodontics | Dentist | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-05-17 |
| 1164597712 | Todd Welsh | Dentist | 382 W Passaic Ave, Bloomfield, NJ 07003-5552 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452487 | Piskai Orthodontics LLC | Dentist | 302 Haddonfield Berlin Rd, Voorhees, NJ 08043-1413 | 2020-09-23 |
| 1992319537 | Nishat Anbar Shahabuddin | Dentist | 3123 Kennedy Blvd, North Bergen, NJ 07047-2378 | 2020-09-01 |
| 1770192239 | Eastern Dental Holdings, LLC | Dentist | 1030 St. Georges Avenue, Suite 304, Avenel, NJ 07001-1327 | 2020-07-30 |
| 1831714765 | Suzanne Quigley Dmd, LLC | Dentist | 130 Maple Ave Ste 2b, Red Bank, NJ 07701-1729 | 2020-06-16 |
| 1871114512 | Marigold Pediatric Dentistry and Orthodontics | Dentist | 1713 Springfield Ave, Maplewood, NJ 07040-2914 | 2020-05-05 |
| 1366076648 | Robert Vartkis Kinoian | Dentist | 138 Spring Valley Rd, Paramus, NJ 07652-5332 | 2020-02-26 |
| 1932732856 | Elite Orthodontics | Dentist | 61 Berdan Ave, Wayne, NJ 07470-3231 | 2020-02-19 |
| 1568006583 | Bowen Family Orthodontics, LLC | Dentist | 7 Myers Dr Ste B, Mullica Hill, NJ 08062-9513 | 2019-11-01 |
| 1376185181 | Robert Bray | Dentist | 620 Shore Road, Somers Point, NJ 08244 | 2019-10-14 |
| 1295376010 | Amy H Hoch | Dentist | 105 Reids Hill Rd Ste A, Matawan, NJ 07747-4003 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
Please comment or provide details below to improve the information on DR. MICHAEL WILLIAM FREDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.