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Dereck Dillard — NPI 1093015000, Newark, NJ | NPI Central

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Dereck Dillard

NPI 1093015000 · Home Health Aide · Newark, NJ

Provider details

NPI number: 1093015000
Entity type: Individual
Primary specialty: Home Health AideNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Home Health AidePrimary374U00000X
Nursing Service Related Providers

Practice location

870 S Orange Ave

Newark, NJ 07106-1944

Phone: (646) 355-5583

Approximate (ZIP-level) locationGet directions

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Mailing address

870 S Orange Ave

Newark, NJ 07106-1944

Registry dates

Enumerated: 2010-10-25
Last updated: 2022-05-05
Certified: 2022-05-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.