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

Dr. Derrek Alonzo Thomas Wilder

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154268761

Dr. Derrek Alonzo Thomas Wilder is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

140 Bergen St
Newark, NJ 07103-2425
Phone: (973) 972-7653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NJ)

Record details

NPI number1154268761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

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