Active NPIOrganization

Omega Weight Loss Center

Family Medicine, Bariatric Medicine in South Orange, New Jersey

NPI Number1003455767
Practice location
228 S Orange Ave, South Orange, NJ 07079-2202
Fax
973-821-5059
Last updated
August 10, 2026

Omega Weight Loss Center is a healthcare organization based in South Orange, NJ. Omega Weight Loss Center practices in South Orange, NJ. The NPI Number for Omega Weight Loss Center is 1003455767. The current practice location address for Omega Weight Loss Center is 228 S Orange Ave, South Orange, NJ 07079-2202 and can be reached out via phone at 973-821-5058 and via fax at 973-821-5059.

Provider Profile Details

NPI Number
1003455767
Provider Name
Omega Weight Loss Center
Provider Entity Type
Organization
Address
228 S Orange Ave, South Orange, NJ 07079-2202
Phone Number
973-821-5058
Fax Number
973-821-5059
Primary Taxonomy
Family Medicine, Bariatric Medicine · 207QB0002X
Organization Subpart
No
Authorized Official
Duane Fredericks, MD · Owner · 347-268-0114
Provider Enumeration Date
December 30, 2019
Last Update Date
August 10, 2026
Certification Date
August 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
228 S Orange Ave
South Orange, NJ 07079-2202
Zip
07079-2202
Phone Number
973-821-5058
Fax Number
973-821-5059
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
228 S Orange Ave
South Orange, NJ 07079-2202
City
South Orange
State
NJ
Zip
07079-2202
Phone Number
973-821-5058
Fax Number
973-821-5059

License Information

Taxonomy
Family Medicine, Bariatric Medicine · 207QB0002X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine, Bariatric Medicine providers near South Orange, NJ

View all Family Medicine, Bariatric Medicine providers in South Orange →

Frequently Asked Questions

What is the NPI number of Omega Weight Loss Center?

The NPI number of Omega Weight Loss Center is 1003455767. It was assigned on December 30, 2019 and is currently active in the NPPES registry.

What is the specialty of Omega Weight Loss Center?

Omega Weight Loss Center is registered under the primary taxonomy Family Medicine, Bariatric Medicine (code 207QB0002X).

Where does Omega Weight Loss Center practice?

The practice location is 228 S Orange Ave, South Orange, NJ 07079-2202. The office can be reached at 973-821-5058 (phone) or 973-821-5059 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003455767 directly on the NPPES registry website.

Browse related providers