MR. JOHN M FREDERICKS JR. LPN
NPI 1871035162
Licensed Practical Nurse in New York, NY

Q: What is John Fredericks's NPI number?

The NPI number for John Fredericks is 1871035162. It was assigned to this individual provider in the NPPES registry on November 17, 2016. The provider is also known as Mr. John M Fredericks Lpn.

Q: What is John Fredericks'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 John Fredericks was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 17, 2016

2975 RTE 9, COLD SPRING, NEW YORK, NY 10516(646) 925-4469 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2016, Nov 17, 2016 (2 updates tracked since 2016).

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About Mr. John M Fredericks Jr. Lpn NPPES

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

MR. JOHN M FREDERICKS JR. LPN (NPI 1871035162) is an individual licensed practical nurse in New York, New York, licensed in New York (217537-1) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1871035162

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. JOHN M FREDERICKS JR.Credential: LPN

Location Address2975 RTE 9, COLD SPRINGNew York, NY 10516

Mailing Address2975 Rte 9Cold Spring, NY 10516 · (646) 925-4469

Phone(646) 925-4469

Sole ProprietorYes

Enumeration DateNovember 17, 2016

Last NPPES UpdateNovember 21, 20162 updates tracked since enumeration

✔ NPI 1871035162 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 · 217537-1

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.

2975 RTE 9, New York, NY 10516

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Other Names 1

Professional Name (2)Mr. John M Fredericks Lpn

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 John Fredericks's NPI number?

The NPI number for John Fredericks is 1871035162. It was assigned to this individual provider in the NPPES registry on November 17, 2016. The provider is also known as Mr. John M Fredericks Lpn.

Where is John Fredericks located?

John Fredericks practices at 2975 Rte 9 Cold Spring, New York, NY 10516. The listed phone number is (646) 925-4469.

What is John Fredericks'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 John Fredericks was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.