| Duane Fredericks, MD | |
|
228 S Orange Ave, South Orange, NJ 07079-2202 | |
| (973) 821-5058 | |
| (973) 821-5059 |
| Full Name | Duane Fredericks |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Obesity Medicine |
| Location | 228 S Orange Ave, South Orange, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184618886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | 25MA08928300 (New Jersey) | Primary |
| Entity Name | Nilay Shah MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578696605 PECOS PAC ID: 3870685118 Enrollment ID: O20070816000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Duane Fredericks, MD 228 S Orange Ave, South Orange, NJ 07079-2202 Ph: (973) 821-5058 | Duane Fredericks, MD 228 S Orange Ave, South Orange, NJ 07079-2202 Ph: (973) 821-5058 |
Dr. Kevin D Holder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Stanley Rd, South Orange, NJ 07079 Phone: 973-762-6077 Fax: 973-762-4331 |
Dr. Sejal Jain, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Vose Ave, South Orange, NJ 07079 Phone: 973-630-8989 Fax: 973-761-1694 |
Lena S Samuel, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 20 Valley St Ste 320, South Orange, NJ 07079 Phone: 973-313-1113 |
Mrs. Ashlyne Nicky Mejia, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Valley St Ste 320, South Orange, NJ 07079 Phone: 973-313-1113 |
Brittany Baptiste, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Vose Ave, Fl 2, South Orange, NJ 07079 Phone: 973-630-8989 Fax: 973-761-1694 |