Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLAS FREDA, D.M.D.
Active Sole ProprietorDR. NICOLAS FREDA, D.M.D. is a Orthodontics healthcare provider located in OLD TAPPAN, New Jersey. NPI 1639622483 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · OLD TAPPAN, NJ
Registration Details
- NPI Number
- 1639622483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2016 (10.009577683774 yrs)
- Last Updated
- May 5, 2020
- Licenses
-
058633 (NY)22DI02593700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
180 OLD TAPPAN RD STE 1AOLD TAPPAN, NJ, 076757052Browse NJ providers · Browse ZIP 07675
- Phone
- 2017680018
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in OLD TAPPAN, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID JENKINS | D.M.D., M.S.D. | 1114070190 |
| DR. ALYSE RUDNICKI | D.D.S., M.S. | 1902098114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.