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Contact Information

KRISTINA DERRICK, MD
214 COMMONS WAY BLDG B
TOMS RIVER, NJ08755-6427
 Phone: 732-234-7546
 Fax: 732-231-5202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KRISTINA DERRICK · (Female)

NPI Number 1013228469
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2010
Last updated 12/16/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 106526
  • NJ License # 25MA10534400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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