Active NPI
Janine Fredericks-Younger, D.M.D.
- Dentist
- Newark, NJ
National Provider Identifier
1760444988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02297500
- Practice address
- 50 12TH Ave
Umdnj- New Jersey Dental School, Clinical Affairs
Newark, NJ 07103-2478 - Phone
- (973) 972-9714
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02297500 | NJ | Primary |
Addresses
Primary practice location
50 12TH Ave
Umdnj- New Jersey Dental School, Clinical Affairs
Newark, NJ 07103-2478
Mailing address
10 Lafayette Ky
Colts Neck, NJ 07722-1774
Phone (732) 431-4567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150826001352 | NJ | Order and Referring Only - Dentist | 4688980329 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760444988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LAFAYETTE KY",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077221774",
"telephone_number": "732-431-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 12TH AVE",
"address_2": "UMDNJ- NEW JERSEY DENTAL SCHOOL, CLINICAL AFFAIRS",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032478",
"telephone_number": "973-972-9714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICKS-YOUNGER",
"first_name": "JANINE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02297500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.