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

Active since September 20, 2006PECOS Enrolled
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: July 26, 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.

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
Phone(973) 926-3568
Fax(973) 926-6452
Sole ProprietorYes
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
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Other Identifiers 3

Medicaid035780NJ
Medicare UPINH11100
Medicare ID-Type Unspecified8156808

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derrick Mcqueen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. KEITH MICHAEL SPELLMAN M.D.
Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7960
DR. LARISSA SOPHIA DUDLEY M.D.
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Essex County (973) 926-6671
WAQAS BARI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (800) 843-2384
ERIKA YESENIA PINEDA MD
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
CASEY YEONJOO CHO APN
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-6938
KARLINA NGUYEN PA-C
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
GARY LAYTON DDS
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7642
DR. ALEXIS LORDI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 900-4855

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Mcqueen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.