Dorothea Frederick

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00667600 Issued in NJ

Practice address

282 Chester Ave
Moorestown, NJ 08057-3306

Phone

(856) 222-3292

NPI assigned

Feb 22, 2017

Last updated

Feb 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1598204539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PANCOAST BLVD",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 CHESTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573306",
            "telephone_number": "856-222-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "DOROTHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00667600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Fox, ATR-BC,CAC,LPC,LCADC
• Jason Frable
• Frank Lammerding DMD,PA
• Frank S. Angelini OD LLC (Angelini Vision Associates)
• Fred M. Gross, Psy.D., P.C.
• Steven Frey, MD
• Kimberly K Friedman, OD
• Leslie Friedman, OD
• Scott A. Friedman, OD
• Georita Marie Frierson, PH.D.

• Family Nurse Practitioner in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.