# OMEGA WEIGHT LOSS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003455767
- **Authorized official:** DUANE FREDERICKS MD (OWNER)
- **Authorized official phone:** (347) 268-0114

## Contact information

- **Practice address:** 228 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2202
- **Practice address phone:** (973) 821-5058
- **Practice address fax:** (973) 821-5059
- **Mailing address:** 228 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2202
- **Mailing address phone:** (973) 821-5058
- **Mailing address fax:** (973) 821-5059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2019
- **Last updated:** 08/10/2026