DR. DERRICK MCQUEEN M.D.
NPI 1003914748
Pediatrics - Pediatric Critical Care Medicine in Newark, NJ

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
201 LYONS AVE, NEWARK, NJ 07112(973) 926-3568(973) 926-6452 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Derrick Mcqueen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERRICK MCQUEEN M.D. (NPI 1003914748) is an individual pediatric critical care medicine provider in Newark, New Jersey, licensed in New Jersey (MA 62620) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1992).

NPPES Registry Identity

NPI1003914748
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. DERRICK MCQUEENCredential: M.D.
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address201 Lyons AveNewark, NJ 07112 · (973) 926-3568 · Fax (973) 926-6452
Fax(973) 926-6452
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1992
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003914748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NJ · MA 62620
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
201 LYONS AVE, Newark, NJ 07112

Other Identifiers 3

Medicaid035780NJ
Medicare UPINH11100
Medicare ID-Type Unspecified8156808

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Derrick Mcqueen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638260763
PECOS Enrollment IDI20070803000429
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Derrick Mcqueen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology (Pediatric Anesthesiology)
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Mcqueen's NPI number?

The NPI number for Derrick Mcqueen is 1003914748. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Derrick Mcqueen located?

Derrick Mcqueen practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-3568.

What is Derrick Mcqueen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Derrick Mcqueen enrolled in Medicare?

Yes. Derrick Mcqueen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Derrick Mcqueen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Mcqueen reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derrick Mcqueen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derrick Mcqueen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Derrick Mcqueen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derrick Mcqueen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.