MR. JONATHAN D. FREET


Address: 1135 Broad St, 3rd Fl Suite 3, Clifton, NJ 07013-3346
Phone: 9736140990

MR. JONATHAN D. FREET (NPI# 1780727529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780727529
Entity Type Individual
Full Name MR. JONATHAN D. FREET
Credential PA-C
Practice Address 1135 Broad St
3rd Fl Suite 3
Clifton
NJ 07013-3346
Mailing Address 20 Albertine Pl
Oak Ridge
NJ 07438-8829
Practice Telephone 9736140990
Practice Fax Number 9736148288
Mailing Telephone 2018357302
Enumeration Date 2007-02-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
25MP00165500 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1135 BROAD ST
3RD FL SUITE 3
City CLIFTON
State NJ
Zip Code 07013-3346

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NPI Name Taxonomy Address Enumeration
1003869702 Diane M Allegra Family Medicine 1135 Broad St, Suite 201, Clifton, NJ 07013-3346 2006-05-17
1073095345 Sonu Hitesh Gandhi Physical Therapist 1135 Broad St, Clifton, NJ 07013-3346 2018-09-04
1932627254 Raymond Nguyen Occupational Therapist 1135 Broad St, Clifton, NJ 07013-3346 2017-09-07
1164973921 Kelly Siss Speech-Language Pathologist 1135 Broad St, Clifton, NJ 07013-3346 2016-10-17
1558738591 Allison Marie Finn Physical Therapist 1135 Broad St, Clifton, NJ 07013-3346 2015-08-25
1538542949 Christine Leroy Family Medicine 1135 Broad St, Clifton, NJ 07013 2015-07-02
1881028637 Anthony Vincent Costella Physical Therapist 1135 Broad St, Suite 101, Clifton, NJ 07013-3346 2013-08-29
1699115717 Tom Murikan Family Medicine 1135 Broad St, Clifton, NJ 07013-3346 2013-07-03
1316202542 Michael Schwarz Internal Medicine LLC Internal Medicine 1135 Broad St, Suite 205, Clifton, NJ 07013-3346 2012-07-13
1487918637 Kunjal Patel Student in an Organized Health Care Education/Training Program 1135 Broad St, Clifton, NJ 07013-3346 2012-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861028763 Chedva Grossman Behavioral Analyst 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 2020-03-23
1518519578 Marybel Hernandez Social Worker 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 2019-07-10
1427516152 Maya Kron Wellness Acupuncturist 1425 Broad Street Suite 4, Clifton, NJ 07013 2019-03-12
1598251076 Eileen Madden Counselor 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 2018-07-08
1215444591 Wilber Espinosa Nurse Practitioner 1700 Nj-3, Clifton, NJ 07013 2018-01-08
1093222424 Clifton Mri Radiology 750 Clifton Ave, Clifton, NJ 07013 2018-01-08
1912425745 Partnerships for People, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 115, Clifton, NJ 07013 2017-08-31
1255875183 Elite Gynecology, LLC Obstetrics & Gynecology 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 2016-12-12
1659815710 Patrick Dispoto Registered Nurse 1005 Clifton Ave # 2, Clifton, NJ 07013 2016-12-08
1033568829 Community Options Enterprises, Inc. Day Training, Developmentally Disabled Services 24-36 Fornelius Avenue, Clifton, NJ 07013 2016-06-13
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1063036358 Jaina Marie Lumkong Physician Assistant 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 2020-06-02
1346881836 Carmen Kotry Physician Assistant 905 Allwood Rd, Clifton, NJ 07012-1945 2019-10-05
1063861144 Lauren Ashley Royce Physician Assistant 1135 Broad Street, Suite 1, Clifton, NJ 07013 2016-06-08
1922445162 Kevin Cousins Physician Assistant 50 Mount Prospect Ave, Suite 104, Clifton, NJ 07013-1900 2013-05-29
1801031620 Timothy M White Physician Assistant 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 2008-12-08

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1467062463 Erica Josephine Lobuglio Physician Assistant 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 2020-08-04
1407471493 Angelice Grasso Physician Assistant 3 Holly Ln, Garfield, NJ 07026-3565 2020-06-15
1740804384 Allison Sy Tan Physician Assistant 10 Bahr Cir, Verona, NJ 07044-3200 2020-05-29
1114560851 Brian Paul Leonhardt Physician Assistant 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 2019-10-25
1740830413 Atara Hagler Physician Assistant 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 2019-09-16
1568943058 Ekaterina M Rezvin Physician Assistant 80 Woodland Park Dr, Tenafly, NJ 07670-3028 2018-08-23
1225550353 Kristen Cordiello Physician Assistant 1610 Route 88 Ste 203, Brick, NJ 08724-3018 2017-07-11
1710408232 Angela Marie Freedman Physician Assistant 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 2017-07-06
1063932259 Matthew Gabriel Physician Assistant 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 2017-06-20
1689108987 Timothy Godfrey Physician Assistant 76 Willowbrook Blvd, Wayne, NJ 07470-7002 2017-04-13
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Competitor

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City CLIFTON
Zip Code 07013

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Dataset Information

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.

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