Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derrick Heydinger, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1275989402

Derrick Heydinger, DO is a Family Practice in Clark, New Jersey. Graduated from Ohio University, College of Osteopathic Medicine in 2016, 10 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

140 Central Ave Ste 700
Clark, NJ 07066-1121
Phone: (973) 943-5042
Fax: (973) 943-5032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 58.007498 (OH)

Record details

NPI number1275989402
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 6, 2016
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing addressPo Box 416457, Boston, MA 02241-6457

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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