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

Jake Frederick

Individual provider Registered Nurse · NPI 1669319091

Jake Frederick is a Registered Nurse in Wayne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

15 Falcon Pl
Wayne, NJ 07470-3505
Phone: (201) 563-4086
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 26NR26572500 (NJ)

Record details

NPI number1669319091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 3, 2026
Mailing address15 Falcon Pl, Wayne, NJ 07470-3505

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