Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OMEGA WEIGHT LOSS CENTER
NPI 1003455767
Family Medicine - Obesity Medicine in South Orange, NJ

Q: What is Omega Weight Loss Center's NPI number?

The NPI number for Omega Weight Loss Center is 1003455767. It was assigned to this organization in the NPPES registry on December 30, 2019.

Q: What is Omega Weight Loss Center's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Active since December 30, 2019

228 S ORANGE AVE, SOUTH ORANGE, NJ 07079(973) 821-5058(973) 821-5059 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2026, Dec 30, 2019 (2 updates tracked since 2019).

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About Omega Weight Loss Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMEGA WEIGHT LOSS CENTER (NPI 1003455767) is a healthcare organization registered as an obesity medicine in South Orange, New Jersey and active in the NPI registry since December 2019. The organization lists Duane Fredericks, Owner, as its authorized official.

NPPES Registry Identity

NPI1003455767

Entity TypeOrganization

Primary Taxonomy207QB0002X

Legal Business NameOMEGA WEIGHT LOSS CENTER

Location Address228 S ORANGE AVESouth Orange, NJ 07079-2202

Mailing Address228 S Orange AveSouth Orange, NJ 07079-2202 · (973) 821-5058 · Fax (973) 821-5059

Phone(973) 821-5058

Fax(973) 821-5059

Organization SubpartNo

Authorized OfficialDuane FredericksOwner · (347) 268-0114

Enumeration DateDecember 30, 2019

Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1003455767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

228 S ORANGE AVE, South Orange, NJ 07079

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUANE FREDERICKS M.D.

Family Medicine (Obesity Medicine)