Essex Pedidoc, LLC
Preferred Provider Organization in Irvington, New Jersey
1730475088- Practice location
- 22 Ball St Ste 100, Irvington, NJ 07111-3521
- Phone
- 973-371-1600
- Fax
- —
- Last updated
- June 24, 2011
Essex Pedidoc, LLC is a healthcare organization based in Irvington, NJ. Essex Pedidoc, LLC practices in Irvington, NJ. The NPI Number for Essex Pedidoc, LLC is 1730475088 and holds a License No. 25MA05388700 (NJ). The current practice location address for Essex Pedidoc, LLC is 22 Ball St Ste 100, Irvington, NJ 07111-3521 and can be reached out via phone at 973-371-1600.
Provider Profile Details
- NPI Number
- 1730475088
- Provider Name
- Essex Pedidoc, LLC
- Provider Entity Type
- Organization
- Address
- 22 Ball St Ste 100, Irvington, NJ 07111-3521
- Phone Number
- 973-371-1600
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Bernier Lauredan, MD · Physician · 973-371-1600
- Provider Enumeration Date
- June 24, 2011
- Last Update Date
- June 24, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Ball St Ste 100
Irvington, NJ 07111-3521 - City
- Irvington
- State
- New Jersey
- Zip
- 07111-3521
- Phone Number
- 973-371-1600
Provider Business Mailing Address Details
- Address
- 22 Ball St Ste 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 Essex Pedidoc, LLC?
The NPI number of Essex Pedidoc, LLC is 1730475088. It was assigned on June 24, 2011 and is currently active in the NPPES registry.
What is the specialty of Essex Pedidoc, LLC?
Essex Pedidoc, LLC is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in NJ under license number 25MA05388700.
Where does Essex Pedidoc, LLC practice?
The practice location is 22 Ball St Ste 100, Irvington, NJ 07111-3521. The office can be reached at 973-371-1600 (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 1730475088 directly on the NPPES registry website.