Pedi Doc, P.a.
Preferred Provider Organization in Perth Amboy, New Jersey
1073538658- Practice location
- 205 Smith St, Suite D, Perth Amboy, NJ 08861-4323
- Phone
- 732-697-1600
- Fax
- —
- Last updated
- March 22, 2013
Pedi Doc, P.a. is a healthcare organization based in Perth Amboy, NJ. Pedi Doc, P.a. practices in Perth Amboy, NJ. The NPI Number for Pedi Doc, P.a. is 1073538658 and holds a License No. 25ma05388700 (NJ). The current practice location address for Pedi Doc, P.a. is 205 Smith St, Suite D, Perth Amboy, NJ 08861-4323 and can be reached out via phone at 732-697-1600.
Provider Profile Details
- NPI Number
- 1073538658
- Provider Name
- Pedi Doc, P.a.
- Provider Entity Type
- Organization
- Address
- 205 Smith St, Suite D, Perth Amboy, NJ 08861-4323
- Phone Number
- 732-697-1600
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- Yes
- Parent Organization
- Essex Pedi Doc, LLC
- Authorized Official
- Bernier Lauredan, MD · Medical Director · 973-371-1600
- Provider Enumeration Date
- July 13, 2006
- Last Update Date
- March 22, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205 Smith St
Suite D
Perth Amboy, NJ 08861-4323 - City
- Perth Amboy
- State
- New Jersey
- Zip
- 08861-4323
- Phone Number
- 732-697-1600
Provider Business Mailing Address Details
- Address
- 22 Ball St
Suite 100
Irvington, NJ 07111-3521 - City
- Irvington
- State
- NJ
- Zip
- 07111-3521
- Phone Number
- 973-371-1600
License Information
- License Number
- 25ma05388700
- License State
- NJ
- Taxonomy
- Preferred Provider Organization · 305R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pedi Doc, P.a.?
The NPI number of Pedi Doc, P.a. is 1073538658. It was assigned on July 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Pedi Doc, P.a.?
Pedi Doc, P.a. is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in NJ under license number 25ma05388700.
Where does Pedi Doc, P.a. practice?
The practice location is 205 Smith St, Suite D, Perth Amboy, NJ 08861-4323. The office can be reached at 732-697-1600 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073538658 directly on the NPPES registry website.