black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MDR AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN214434
Status:
First Licensure:
03/13/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
180 AVENUE AT THE CMN
SHREWSBURY, NJ 07702-4569
Mailing:
180 AVENUE AT THE CMN
SHREWSBURY, NJ 07702-4569
Phone:
+1 (732) 542-4030
Fax:
+1 (732) 542-4035
Email:
michele@mdragency.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/13/2013 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKLEY REGIONAL INSURANCE COMPANY
07/19/2022 PCF48727
XL SPECIALTY INSURANCE COMPANY
04/03/2013 PCF43958 07/11/2022
XL SPECIALTY INSURANCE COMPANY
07/20/2022 PCF43958

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MICHAEL A. DEROCCKIS
03/13/2013 PRN214129

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MICHAEL A. DEROCCKIS PRN214129

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6410944

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/07/2025 06:37:21 PM