Healthcare Provider Details

I. General information

NPI: 1922945518
Provider Name (Legal Business Name): DDM CREATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3821 HERBERTSVILLE RD
POINT PLEASANT BORO NJ
08742-5419
US

IV. Provider business mailing address

2145 HIGHWAY 35 # 1099
SEA GIRT NJ
08750-1003
US

V. Phone/Fax

Practice location:
  • Phone: 732-655-8528
  • Fax:
Mailing address:
  • Phone: 732-655-8528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: DARLENE DOHERTY
Title or Position: OWNER
Credential:
Phone: 732-655-8528