Duane Fredericks, MD
Family Medicine, Bariatric Medicine in South Orange, New Jersey
1184618886- Practice location
- 228 S Orange Ave, South Orange, NJ 07079-2202
- Phone
- 973-821-5058
- Fax
- 973-821-5059
- Last updated
- August 10, 2026
Duane Fredericks is a Family Medicine, Bariatric Medicine based in South Orange, NJ. Duane Fredericks practices in South Orange, NJ and has the professional credentials of MD. The NPI Number for Duane Fredericks is 1184618886 and holds a License No. 25MA08928300 (NJ). The current practice location address for Duane Fredericks 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
- 1184618886
- Provider Name
- Duane Fredericks
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- 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
- Sole Proprietor
- No
- Provider Enumeration Date
- September 8, 2005
- 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 - City
- South Orange
- State
- New Jersey
- Zip
- 07079-2202
- Phone Number
- 973-821-5058
- Fax Number
- 973-821-5059
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
- License Number
- 25MA08928300
- License State
- NJ
- Taxonomy
- Family Medicine, Bariatric Medicine · 207QB0002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Duane Fredericks, MD?
The NPI number of Duane Fredericks, MD is 1184618886. It was assigned on September 8, 2005 and is currently active in the NPPES registry.
What is the specialty of Duane Fredericks, MD?
Duane Fredericks, MD is registered under the primary taxonomy Family Medicine, Bariatric Medicine (code 207QB0002X), licensed in NJ under license number 25MA08928300.
Where does Duane Fredericks, MD 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 1184618886 directly on the NPPES registry website.