Individual provider · NPI-1

Dr. Kristina Derrick, MD

Dermatology · Toms River, NJ

NPI number1013228469

StatusActive

Last updated in NPPESDec 16, 2025

Details

NPI: 1013228469
Entity type: Individual (NPI-1)
Name: Dr. Kristina Derrick
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Jun 30, 2010
Certification date: Dec 16, 2025
Last updated: Dec 16, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	25MA10534400	NJ	Yes
208000000X	Pediatrics	106526	NJ
207NP0225X	Dermatology, Pediatric Dermatology	25MA10534400	NJ

Practice location

214 Commons Way Bldg B
Toms River, NJ 08755-6427

Phone 732-234-7546 · Fax 732-231-5202

Mailing address

214 Commons Way Bldg B
Toms River, NJ 08755-6427

Phone 732-234-7546 · Fax 732-231-5202

Other practice locations

450 Clarkson Ave
Brooklyn, NY 11203-2012

Phone 718-270-1229 · Fax 718-270-2794

1616 Route 72 W
Manahawkin, NJ 08050-5131

Phone 732-234-7546 · Fax 718-231-5202

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