Rose D Deryder
Physician Assistant, Medical in Hackettstown, New Jersey
1306778196- Practice location
- 254B Mountain Ave Ste 100, Hackettstown, NJ 07840-2413
- Phone
- 908-852-6400
- Fax
- —
- Last updated
- October 26, 2026
Rose Dorothea Deryder is a Physician Assistant, Medical based in Hackettstown, NJ. Rose Dorothea Deryder practices in Hackettstown, NJ. The NPI Number for Rose Dorothea Deryder is 1306778196. The current practice location address for Rose Dorothea Deryder is 254B Mountain Ave Ste 100, Hackettstown, NJ 07840-2413 and can be reached out via phone at 908-852-6400.
Provider Profile Details
- NPI Number
- 1306778196
- Provider Name
- Rose Dorothea Deryder
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 254B Mountain Ave Ste 100, Hackettstown, NJ 07840-2413
- Phone Number
- 908-852-6400
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2026
- Last Update Date
- October 26, 2026
- Certification Date
- October 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 254B Mountain Ave Ste 100
Hackettstown, NJ 07840-2413 - City
- Hackettstown
- State
- New Jersey
- Zip
- 07840-2413
- Phone Number
- 908-852-6400
Provider Business Mailing Address Details
- Address
- Po Box 95000
Philadelphia, PA 19195-7495 - City
- Philadelphia
- State
- PA
- Zip
- 19195-7495
- Phone Number
- 973-656-6280
- Fax Number
- 973-290-7495
License Information
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · 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 Rose D Deryder?
The NPI number of Rose D Deryder is 1306778196. It was assigned on June 3, 2026 and is currently active in the NPPES registry.
What is the specialty of Rose D Deryder?
Rose D Deryder is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Rose D Deryder practice?
The practice location is 254B Mountain Ave Ste 100, Hackettstown, NJ 07840-2413. The office can be reached at 908-852-6400 (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 1306778196 directly on the NPPES registry website.