Mr. Dereck L Dillard
Home Health Aide in Newark, New Jersey
1093015000- Practice location
- 870 S Orange Ave, Newark, NJ 07106-1944
- Phone
- 646-355-5583
- Fax
- —
- Last updated
- May 5, 2022
Dereck L Dillard is a Home Health Aide based in Newark, NJ. Dereck L Dillard practices in Newark, NJ. The NPI Number for Dereck L Dillard is 1093015000. The current practice location address for Dereck L Dillard is 870 S Orange Ave, Newark, NJ 07106-1944 and can be reached out via phone at 646-355-5583.
Provider Profile Details
- NPI Number
- 1093015000
- Provider Name
- Dereck L Dillard
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 870 S Orange Ave, Newark, NJ 07106-1944
- Phone Number
- 646-355-5583
- Primary Taxonomy
- Home Health Aide · 374U00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 25, 2010
- Last Update Date
- May 5, 2022
- Certification Date
- May 5, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 870 S Orange Ave
Newark, NJ 07106-1944 - City
- Newark
- State
- New Jersey
- Zip
- 07106-1944
- Phone Number
- 646-355-5583
Provider Business Mailing Address Details
- Address
- 870 S Orange Ave
Newark, NJ 07106-1944 - City
- Newark
- State
- NJ
- Zip
- 07106-1944
- Phone Number
- 646-355-5583
License Information
- Taxonomy
- Home Health Aide · 374U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Dereck L Dillard?
The NPI number of Mr. Dereck L Dillard is 1093015000. It was assigned on October 25, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Dereck L Dillard?
Mr. Dereck L Dillard is registered under the primary taxonomy Home Health Aide (code 374U00000X).
Where does Mr. Dereck L Dillard practice?
The practice location is 870 S Orange Ave, Newark, NJ 07106-1944. The office can be reached at 646-355-5583 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093015000 directly on the NPPES registry website.