MRS. LYDIE-DANIELLE FREDERIC PA-C
NPI 1104160753
Physician Assistant in Trenton, NJ

Q: What is Lydie-danielle Frederic's NPI number?

The NPI number for Lydie-danielle Frederic is 1104160753. It was assigned to this individual provider in the NPPES registry on November 20, 2012. The provider is also known as Lydie-Dani Frederic.

Q: What is Lydie-danielle Frederic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 20, 2012PECOS EnrolledAccepts Medicare Assignment

750 BRUNSWICK AVE, TRENTON, NJ 08638(609) 394-6000 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, May 17, 2021, Mar 4, 2016 (3 updates tracked since 2016).

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About Mrs. Lydie-danielle Frederic Pa-c NPPES

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

MRS. LYDIE-DANIELLE FREDERIC PA-C (NPI 1104160753) is an individual physician assistant in Trenton, New Jersey, licensed in Virginia (0110010195) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of New York Downstate Medical Center (2012).

NPPES Registry Identity

NPI1104160753

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. LYDIE-DANIELLE FREDERICCredential: PA-C

Location Address750 BRUNSWICK AVETrenton, NJ 08638-4143

Mailing Address130 Speedwell AveMorris Plains, NJ 07950-2315 · (862) 242-8053

Phone(609) 394-6000

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2012

Enumeration DateNovember 20, 2012

Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1104160753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in VA · 0110010195✔ Licensed in NY · 016255✔ Licensed in NJ · 25MP00345300

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

750 BRUNSWICK AVE, Trenton, NJ 08638

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Other Names 1

Other Name (5)Lydie-dani Frederic

Secondary Practice Locations 2

Location 1301 Riverview Ave Ste 202ANorfolk, VA 23510-1065 · Phone (757) 252-9140 · Fax (757) 793-4149

Location 2130 Speedwell AveMorris Plains, NJ 07950-2315 · Phone (862) 242-8053

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lydie-danielle Frederic Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052638350

PECOS Enrollment IDI20250214000485

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LAUREN PRICE PA-C

Physician Assistant

750 BRUNSWICK AVE
TRENTON, NJ 08638

Mercer County (609) 396-2600

EMMA LYN VAN OOSTROM PA-C

Physician Assistant

750 BRUNSWICK AVE
TRENTON, NJ 08638

Mercer County (609) 394-6000

DELARAM MOAZAMI MD

Internal Medicine

750 BRUNSWICK AVE
TRENTON, NJ 08638

Mercer County (609) 394-6000

MIRIAM ODURUKWE MD

Student in an Organized Health Care Education/Training Program

750 BRUNSWICK AVE
TRENTON, NJ 08638

Mercer County (609) 394-6031

SEEMA SAKARIA DO

Student in an Organized Health Care Education/Training Program

750 BRUNSWICK AVE
TRENTON, NJ 08638

Mercer County (609) 394-6031

OSMAN ABBASHER

Student in an Organized Health Care Education/Training Program

750 BRUNSWICK AVE
TRENTON, NJ 08638

Mercer County (609) 394-6031

EMERGENCY MEDICAL ASSOCIATES CHS LLC

Emergency Medicine

750 BRUNSWICK AVE, CAPITAL HEALTH REGIONAL MED. CTR. EMERGENCY DEPARTMENT
TRENTON, NJ 08638

Mercer County (469) 401-2386

DMITRIY PODLOG

Emergency Medicine

750 BRUNSWICK AVE
TRENTON, NJ 08638

Mercer County (609) 394-6031

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 Lydie-danielle Frederic's NPI number?

The NPI number for Lydie-danielle Frederic is 1104160753. It was assigned to this individual provider in the NPPES registry on November 20, 2012. The provider is also known as Lydie-Dani Frederic.

Where is Lydie-danielle Frederic located?

Lydie-danielle Frederic practices at 750 Brunswick Ave, Trenton, NJ 08638. The listed phone number is (609) 394-6000.

What is Lydie-danielle Frederic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lydie-danielle Frederic enrolled in Medicare?

Yes. Lydie-danielle Frederic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lydie-danielle Frederic accept?

Health plans from Providence Health Plan list Lydie-danielle Frederic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydie-danielle Frederic was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.