Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Duane Fredericks, MD

Individual provider Public Health & General Preventive Medicine Physician · NPI 1184618886

Duane Fredericks, MD is a Public Health & General Preventive Medicine Physician in New York, New York. Licensed in New Jersey and New York. Registered with an NPI since 2005.

Licensed in
NJ, NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

530 1st Ave Sk 10S
New York, NY 10016-6402
Phone: (212) 263-3166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X · Licence 25MA08928300 (NJ)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 25MA08928300 (NJ)
Surgery Physician Taxonomy 208600000X · Licence P40643 (NY)

Record details

NPI number1184618886
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESJuly 13, 2026
Certification dateOctober 18, 2020

Other providers in New York