OMEGA WEIGHT LOSS CENTER (NPI# 1003455767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003455767 |
| Entity Type | Organization |
| Organization Name | OMEGA WEIGHT LOSS CENTER |
| Practice Address |
222 Cedar Ln Teaneck NJ 07666-4314 |
| Mailing Address |
5 Lawrence Ct Teaneck NJ 07666-6460 |
| Practice Telephone | 3472680114 |
| Mailing Telephone | 3472680114 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | DUANE FREDERICKS (OWNER) |
| Authorized Official Telephone | 3472680114 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
222 CEDAR LN |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114906377 | Isaiah Florence | Anesthesiology | 222 Cedar Ln, Suite 210, Teaneck, NJ 07666-4314 | 2006-01-15 |
| 1235582107 | North Jersey Laparoscopic Associates | Surgery | 222 Cedar Ln, Suite 201, Teaneck, NJ 07666-4314 | 2016-07-15 |
| 1265772990 | Allison Vogel | Dietitian, Registered | 222 Cedar Ln, Room 201, Teaneck, NJ 07666-4314 | 2013-02-16 |
| 1164705067 | Stephanie Pamela Greenspan | Dietitian, Registered | 222 Cedar Ln, Suite 201, Teaneck, NJ 07666-4314 | 2011-09-27 |
| 1578845897 | Alicia Rodriguez-barrera | Physician Assistant | 222 Cedar Ln, Suite 201, Teaneck, NJ 07666-4314 | 2011-09-13 |
| 1619262979 | Humc Cardiovascular Partners, PC | Internal Medicine | 222 Cedar Ln, Suite 208, Teaneck, NJ 07666-4314 | 2011-06-15 |
| 1821395005 | Rlscc, LLC | Dermatology | 222 Cedar Ln, Suite 303, Teaneck, NJ 07666-4314 | 2011-02-23 |
| 1952540072 | Peter S Liu | Physician Assistant | 222 Cedar Ln, Ste. 120, Teaneck, NJ 07666-4314 | 2009-02-12 |
| 1972624070 | Holy Name Home Dialysis Center, Inc. | Clinic/Center | 222 Cedar Ln, Suite 103, Teaneck, NJ 07666-4314 | 2007-04-03 |
| 1649218553 | Bergen Cardiology Associates | Specialist | 222 Cedar Ln, Suite 208, Teaneck, NJ 07666-4314 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801319496 | Healthy Ewl PC | Family Medicine | 95 Madison Ave Ste A06, Morristown, NJ 07960-7365 | 2017-07-25 |
| 1558516518 | Felipe Tanseco Juan | Family Medicine | 502 Hamburg Tpke, Suite 101a, Wayne, NJ 07470-8431 | 2008-11-18 |
| 1194978759 | Maheshwari Medical Corporation | Family Medicine | 779 Springfield Ave, Summit, NJ 07901-2332 | 2008-10-28 |
| 1972782696 | Grand Professional Weight Control | Family Medicine | 420 Grand Avenue, Suite 102, Englewood, NJ 07631 | 2007-10-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.