Individual provider · Type 1 NPI

Lydie-Danielle Frederic, PA-C

Physician Assistant · Trenton, NJ

NPI number 1104160753 Active

Practice location

750 Brunswick Ave
Trenton, NJ 08638-4143

Call (609) 394-6000 Map

Mailing address

130 Speedwell Ave
Morris Plains, NJ 07950-2315

Other practice locations

  • 301 Riverview Ave Ste 202A, Norfolk, VA 23510-1065 · (757) 252-9140
  • 130 Speedwell Ave, Morris Plains, NJ 07950-2315 · (862) 242-8053

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X016255 (NY)
Physician Assistant 363A00000X25MP00345300 (NJ)
Physician Assistant Primary 363A00000X0110010195 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104160753

Lydie-Danielle Frederic, PA-C's National Provider Identifier is 1104160753, issued on Nov 20, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Trenton, NJ. The record was last updated on Jan 6, 2025.