MS. AMY MARIE DERRICK APN NPI 1174281513

NPI Information

  • NPI: 1174281513
  • Provider Name: MS. AMY MARIE DERRICK, APN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2640 HIGHWAY 70 STE 201
    MANASQUAN, NJ
    ZIP 08736
  • Phone: (327) 202-0622

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NPI Details

MS. Amy Marie Derrick, APN is a psychiatric/mental health nurse practitioner in Manasquan, NJ. MS. Amy Marie Derrick, APN NPI is 1174281513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2640 HIGHWAY 70 STE 201
MANASQUAN, NJ
ZIP 08736-609
Phone: (327) 202-0622
Fax: (732) 202-0620

The NPI 1174281513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2021 and was last updated on 10/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse26NR18163900NEW JERSEYNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ14857300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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