Omega Weight Loss Center

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

OMEGA WEIGHT LOSS CENTER

Practice address

228 S Orange Ave
South Orange, NJ 07079-2202

Phone

(973) 821-5058

Fax

(973) 821-5059

NPI assigned

Dec 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Duane Fredericks, MDNPI 1184618886

Title

Owner

Phone

(347) 268-0114

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duane Fredericks, M.D.

  • Obesity Medicine (Family Medicine) Physician
  • South Orange, NJ
  • NPI 1184618886
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1003455767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792202",
            "telephone_number": "973-821-5058",
            "fax_number": "973-821-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792202",
            "telephone_number": "973-821-5058",
            "fax_number": "973-821-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA WEIGHT LOSS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-268-0114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern New Jersey Eye Institute, PA
• Audrey Michiku Magbojos Nuesca
• Chukwuemeka S Nwigwe, PT, DPT, OCS,FAAOMPT
• Happiness Nwobu, DDS
• Grace M Olyfveldt Bynoe
• Optimum Anesthesia
• Nneka Chikodili Oraedu, M.D
• Gennaro Palladino
• Swarna Latha Panchakarla
• Patricia Joyce Parsons, PH.D.

• Obesity Medicine (Family Medicine) Physician in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Obesity Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.