Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992803324 Individual Practitioner Male Practitioner

Dr. Derek Widmayer , DMD

Dentist - General Practice • West Orange, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Derek Widmayer, DMD is a registered healthcare professional specializing in Dentist - General Practice in West Orange, NJ. Practice services are available at 769 NORTHFIELD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

769 Northfield Ave
Suite 154

West Orange, NJ 070521198

Telephone 9737360111
Fax 9733253442
Associated Practice Facility / Clinic
🏢 Anjali R. Gupta, M.d. P.c. Facility NPI 1245200963

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Orange, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
32 Specialists

Practicing in West Orange, NJ (4316 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 21260

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Allan Stein , DMD

Dentist - General Practice

NPI 1023685591

Doctor of Dental Medicine

Dr. Ivan Stein , DDS

Dentist - General Practice

NPI 1083711469

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 769 NORTHFIELD AVE, SUITE 154, WEST ORANGE, NJ 070521198 (Tel: 9737360111)

📍
Updated Business Mailing Address July 08, 2007

Registered at 769 NORTHFIELD AVE, SUITE 154, WEST ORANGE, NJ 070521198 (Tel: 9737360111)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEREK WIDMAYER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #21260 in NJ)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992803324
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

769 Northfield Ave, Suite 154

West Orange, NJ 070521198

Phone: 9737360111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.