RUDY FREDERIC
NPI 1063866457
Licensed Practical Nurse in Brooklyn, NY

Q: What is Rudy Frederic's NPI number?

The NPI number for Rudy Frederic is 1063866457. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Q: What is Rudy Frederic's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Rudy Frederic was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 21, 2016

633 E 16TH ST, APT D5, BROOKLYN, NY 11226(347) 651-3938 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Rudy Frederic NPPES

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

RUDY FREDERIC (NPI 1063866457) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (324616) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1063866457

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameRUDY FREDERIC

Location Address633 E 16TH ST, APT D5Brooklyn, NY 11226-6568

Mailing Address633 E 16th St, Apt D5Brooklyn, NY 11226-6568 · (347) 651-3938

Phone(347) 651-3938

Sole ProprietorNo

Enumeration DateApril 21, 2016

✔ NPI 1063866457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 324616

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

633 E 16TH ST, Brooklyn, NY 11226

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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 Rudy Frederic's NPI number?

The NPI number for Rudy Frederic is 1063866457. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Rudy Frederic located?

Rudy Frederic practices at 633 E 16th St Apt D5, Brooklyn, NY 11226. The listed phone number is (347) 651-3938.

What is Rudy Frederic's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Rudy Frederic was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.