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

Mr. Derrick Lemuel Rodriguez, NP-C

Individual provider Nurse Practitioner · NPI 1912591108

Mr. Derrick Lemuel Rodriguez, NP-C is a Nurse Practitioner in Hackensack, New Jersey. Qualified in 2015, 11 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 455-4453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22-18 Broadway Ste 101, Fair Lawn, NJ 07410-3016 — (201) 797-4503

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ01121100 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ01121100 (NJ)

Record details

NPI number1912591108
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2021
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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