Active NPI
Fred Wayne Williams, MD
- Obstetrics & Gynecology Physician
- Trenton, NJ
National Provider Identifier
1679565782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA04097100
- Practice address
- 1450 Parkside Ave
Suite 10
Trenton, NJ 08638-2946 - Phone
- (609) 406-1250
- Fax
- (609) 406-1249
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA04097100 | NJ | Primary |
Addresses
Primary practice location
1450 Parkside Ave
Suite 10
Trenton, NJ 08638-2946
Mailing address
PO Box 5466
Trenton, NJ 08638-0466
Phone (609) 406-1250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0468304 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04097100 | NJ | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- fred.williams.1@8080.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679565782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5466",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086380466",
"telephone_number": "609-406-1250",
"fax_number": "609-406-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 PARKSIDE AVE",
"address_2": "SUITE 10",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086382946",
"telephone_number": "609-406-1250",
"fax_number": "609-406-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "FRED",
"middle_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA04097100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0468304",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.