NANCY FREDERIC NP
NPI 1063716769
Nurse Practitioner - Psychiatric/Mental Health in West Orange, NJ

Q: What is Nancy Frederic's NPI number?

The NPI number for Nancy Frederic is 1063716769. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Q: What is Nancy Frederic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Frederic was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2011

75 CRESTMONT RD, WEST ORANGE, NJ 07052(973) 325-0805 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2022, Sep 16, 2021 (2 updates tracked since 2021).

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About Nancy Frederic Np NPPES

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

NANCY FREDERIC NP (NPI 1063716769) is an individual psychiatric/mental health provider in West Orange, New Jersey, licensed in New Jersey (26NJ00512000) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1063716769

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNANCY FREDERICCredential: NP

Location Address75 CRESTMONT RDWest Orange, NJ 07052-1626

Mailing Address75 Crestmont RdWest Orange, NJ 07052-1626 · (973) 325-0805

Phone(973) 325-0805

Sole ProprietorNo

Enumeration DateJanuary 10, 2011

Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2022

✔ NPI 1063716769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NJ · 26NJ00512000

Also ListedRegistered NurseTaxonomy 163W00000X · License 581305 (NY), 26NR17113600 (NJ)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 430774 (NY)

75 CRESTMONT RD, West Orange, NJ 07052

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Frederic's NPI number?

The NPI number for Nancy Frederic is 1063716769. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Where is Nancy Frederic located?

Nancy Frederic practices at 75 Crestmont Rd, West Orange, NJ 07052. The listed phone number is (973) 325-0805.

What is Nancy Frederic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nancy Frederic was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.