Active NPIIndividual provider

Ms. Amy M Derrick, APN

Nurse Practitioner, Psych/Mental Health in Manasquan, New Jersey

NPI Number1174281513
Practice location
2640 Highway 70 Ste 201, Manasquan, NJ 08736-2609
Fax
732-202-0620
Last updated
October 24, 2023

Amy Marie Derrick is a Nurse Practitioner, Psych/Mental Health based in Manasquan, NJ. Amy Marie Derrick practices in Manasquan, NJ and has the professional credentials of APN. The NPI Number for Amy Marie Derrick is 1174281513 and holds a License No. 26NR18163900 (NJ). The current practice location address for Amy Marie Derrick is 2640 Highway 70 Ste 201, Manasquan, NJ 08736-2609 and can be reached out via phone at 327-202-0622 and via fax at 732-202-0620.

Provider Profile Details

NPI Number
1174281513
Provider Name
Amy Marie Derrick
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2640 Highway 70 Ste 201, Manasquan, NJ 08736-2609
Phone Number
327-202-0622
Fax Number
732-202-0620
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
December 2, 2021
Last Update Date
October 24, 2023
Certification Date
October 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2640 Highway 70 Ste 201
Manasquan, NJ 08736-2609
Zip
08736-2609
Phone Number
327-202-0622
Fax Number
732-202-0620
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
448 Lukas Blvd
Morganville, NJ 07751-9741
City
Morganville
State
NJ
Zip
07751-9741
Phone Number
732-598-0340

License Information

License Number (1)
26NR18163900
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ14857300
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Amy M Derrick, APN?

The NPI number of Ms. Amy M Derrick, APN is 1174281513. It was assigned on December 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Amy M Derrick, APN?

Ms. Amy M Derrick, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NR18163900.

Where does Ms. Amy M Derrick, APN practice?

The practice location is 2640 Highway 70 Ste 201, Manasquan, NJ 08736-2609. The office can be reached at 327-202-0622 (phone) or 732-202-0620 (fax).

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 1174281513 directly on the NPPES registry website.

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