Derrick Heydinger, DO
Family Medicine, Sports Medicine in Clark, New Jersey
1275989402- Practice location
- 140 Central Ave Ste 700, Clark, NJ 07066-1121
- Phone
- 973-943-5042
- Fax
- 973-943-5032
- Last updated
- October 1, 2024
Derrick Heydinger is a Family Medicine, Sports Medicine based in Clark, NJ. Derrick Heydinger practices in Clark, NJ and has the professional credentials of DO. The NPI Number for Derrick Heydinger is 1275989402 and holds a License No. 58.007498 (OH). The current practice location address for Derrick Heydinger is 140 Central Ave Ste 700, Clark, NJ 07066-1121 and can be reached out via phone at 973-943-5042 and via fax at 973-943-5032.
Provider Profile Details
- NPI Number
- 1275989402
- Provider Name
- Derrick Heydinger
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 140 Central Ave Ste 700, Clark, NJ 07066-1121
- Phone Number
- 973-943-5042
- Fax Number
- 973-943-5032
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 6, 2016
- Last Update Date
- October 1, 2024
- Certification Date
- October 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Central Ave Ste 700
Clark, NJ 07066-1121 - City
- Clark
- State
- New Jersey
- Zip
- 07066-1121
- Phone Number
- 973-943-5042
- Fax Number
- 973-943-5032
Provider Business Mailing Address Details
- Address
- Po Box 416457
Boston, MA 02241-6457 - City
- Boston
- State
- MA
- Zip
- 02241-6457
- Phone Number
- 844-362-1735
- Fax Number
- 973-290-7495
License Information
- License Number
- 58.007498
- License State
- OH
- Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine, Sports Medicine providers near Clark, NJ
View all Family Medicine, Sports Medicine providers in Clark →Frequently Asked Questions
What is the NPI number of Derrick Heydinger, DO?
The NPI number of Derrick Heydinger, DO is 1275989402. It was assigned on May 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Derrick Heydinger, DO?
Derrick Heydinger, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in OH under license number 58.007498.
Where does Derrick Heydinger, DO practice?
The practice location is 140 Central Ave Ste 700, Clark, NJ 07066-1121. The office can be reached at 973-943-5042 (phone) or 973-943-5032 (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 1275989402 directly on the NPPES registry website.