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DR. DERREK ALONZO THOMAS WILDER
NPI 1154268761
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since May 01, 2026
140 BERGEN ST, NEWARK, NJ 07103(973) 972-7653 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derrek Alonzo Thomas Wilder NPPES

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

DR. DERREK ALONZO THOMAS WILDER (NPI 1154268761) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1154268761
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DERREK ALONZO THOMAS WILDER
Location Address140 BERGEN STNewark, NJ 07103-2425
Mailing Address140 Bergen StNewark, NJ 07103-2425 · (973) 972-7653
Phone(973) 972-7653
Sole ProprietorNo
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1154268761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
140 BERGEN ST, Newark, NJ 07103
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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.

MIRIAM J IBRAHIM
Student in an Organized Health Care Education/Training Program
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-7200
DR. JONATHAN MAMBER CZERESNIA MD
Internal Medicine (Infectious Disease)
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4071
LISA GITTENS M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
140 BERGEN ST, ACC LEVEL C
NEWARK, NJ 07103
Essex County (973) 972-2700
DR. DANIEL MICHAEL MATASSA M.D.
Internal Medicine
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-9000
TEREN YEDIKIAN
Student in an Organized Health Care Education/Training Program
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2151
MS. CORNELIA VANDERVLIET MA,CCC-A
Audiologist
140 BERGEN ST, LEVEL E ROOM 1700
NEWARK, NJ 07103
Essex County (973) 972-9500
LUKA PETROVIC M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2573
DR. RAQUEL REYES DNP, WHNP, CNM
Advanced Practice Midwife
140 BERGEN ST, ACC - LEVEL D- INFECTIOUS DISEASE PRACTICE
NEWARK, NJ 07103
Essex County (973) 972-7194

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 Derrek Wilder's NPI number?

The NPI number for Derrek Wilder is 1154268761. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Derrek Wilder located?

Derrek Wilder practices at 140 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-7653.

What is Derrek Wilder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derrek Wilder was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.