Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK HEYDINGER, D.O.
Active Sole ProprietorDERRICK HEYDINGER, D.O. is a Sports Medicine healthcare provider located in CLARK, New Jersey. NPI 1275989402 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · CLARK, NJ
Registration Details
- NPI Number
- 1275989402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2016 (10.229704119163 yrs)
- Last Updated
- Oct 1, 2024
- License
-
58.007498 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 CENTRAL AVE STE 700CLARK, NJ, 070661121Browse NJ providers · Browse ZIP 07066
- Phone
- 9739435042
- Fax
- 9739435032
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in CLARK, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. JEROME PUMO JR. | D.O.,FACOFP | 1558363382 |
| MICHELE THERESA GILSENAN | D.O. | 1821066283 |
| MICHAEL ELLIOT BEAMS | D.O. | 1184692261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.