DERRICK PYOMIN JEON MD
NPI 1902461023
Internal Medicine in Hackensack, NJ
About Derrick Pyomin Jeon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK PYOMIN JEON MD (NPI 1902461023) is an individual internal medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA11433700) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Derrick Pyomin Jeon Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Derrick Jeon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Sammamish, WA 98074
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: King County Public Hospital District No 2
- 1,074 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJPalisades Medical Center
Acute Care Hospitals · North Bergen, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HACKENSACK, NJ 07601
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 Jeon's NPI number?
The NPI number for Derrick Jeon is 1902461023. It was assigned to this individual provider in the NPPES registry on May 3, 2019.
Where is Derrick Jeon located?
Derrick Jeon practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-4466.
What is Derrick Jeon's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Derrick Jeon enrolled in Medicare?
Yes. Derrick Jeon 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 organizations bill Medicare for Derrick Jeon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Jeon reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Public Hospital District No 2 (Sammamish, WA). Each 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 Jeon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derrick Jeon accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Derrick Jeon 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.
Is Derrick Jeon affiliated with any hospitals?
According to CMS data, Derrick Jeon is affiliated with Hackensack University Medical Center and Palisades Medical Center.
When was this NPI record last updated?
The NPPES record for Derrick Jeon was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Derrick Pyomin Jeon, MD · NPI 1902461023
Internal Medicine physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since May 3, 2019.
## Identity
- **NPI:** 1902461023 (Entity type: Individual)
- **Enumerated:** May 3, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA11433700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-4466 · **Fax:** (551) 996-0969
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); Public Hospital District No 2 (NPI 1417058694, Sammamish, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902461023) · Data from the CMS NPPES public registry.